HomeMy WebLinkAboutPersonnel Action Request - Technology ServicesPERSONNEL ACTION REQUEST (PAR)
Section I — Core Employee Data (Current Data Required)
Legal Name,,, Conle , Donald Keith
Empl* 5540 y Effecti'Ve Date.- oi/ol/21
Sectiono.. —Employ'ee Data (Required for New Hires, Separations, or if Changing)
Item
C&rentData
New Data
Nate '931
0 Prderred
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
ext.
SS* -Bi firth ate
000-oo-0000 — oo/oo/oo
000-00-0000 — 00[00/00
Section 3 Requested Action
Action s)
Leave Data
Separation Data
Position Cha n-ge - Promotion
A
Type
Reason
Start Date oo/oo/oo
A
A
Eligiblefor Rehire
A
Stop Date oo/oo/oo
l.l.,..-,.,.,..,..ProvideDetal*ls,.2ffeparation Below
SeCUOn 4 — Qnnvaents
The compensation is requested to be applied retro to 01/01/21.
FL SA -status CANNOT be done, retroactively. Exempt status starts 09/01/21.
Vection. Core Items (Current Data Required)
Item CurrentData New Data
Dept# -Dept
Technology Services -501000 A A
Job# -Job Title
179 -13 -System SupportSpee'lalist 179 -09 -System Administrator
--------------
Hire — Position
o7/18/i6 - ol/26/17 07/18/16 - 01/01/21
Grp #-Na,me
N05 -Non -Exempt A
Employee Type Full Time Regular
Section 6 — Secondary Items (Required only ifChangink)
Item
Current ,data New Data
Base Wage
$32.16 Hourly $5,881.20 Monthly
Band / Step
_13/05 14/02
Stipend
$oo.0000 <Select Type> $000000 <Select Ty e>
Pay Type/ELS.
Non -Exempt — Salaried (SALYNE) Exempt (SALRYE)
FTE
1.0 (4o hrs/wk) A
FTE—GrIS Only
<Enter> <Enter>
Workweek,
Standard Sun -Sat A
Section 7 — Authorizing Si19 natures
Department: Date:
Human Resources: Date: 08/30121
Board Approva?aReli: Not(Req "re.
hai
Cr :
Vice -Chair: Date:
Member.
Revised 05/25/2021