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HomeMy WebLinkAboutPersonnel Action Request - New Hope DV/SA (002)� O NNEL ACTION REQUEST (PAR) Section-t — Core ' i .+�nw.s-vm-nesw,cr„n•.>rw.�,..w_.n,.�,.x.�,...ni.....-.,wm„e�..,h<,+r,x,r. „ev...�...,...�,..,- n.r.,r. y 1J2�i l t� ,i '��'''y( ^yj ��w • �, ��JaI�{�t�i, Debra U� sssf�ecti �- Date: .0 Legal egaName: Section Einployce Data (Req, ired for New Hires, Separations, or 'f Chang! «,+w<.ar s.+n«x+xewn„+.xiw+,w-nsr - .e.-..wrwn<.e«-r..+......�, x•r-+�«,.._..w..,,,.....i_..rorsrs+_ � *���� �i i i t Data Item ��� ��i. �� e �. �� Data � L �� ..,...,....-.�..�.�.a,.,.......ewp[ new.e,y ...w•,,,,.w,.x, x�+v,w,x,.,<_....,....a .. w..r_woe»rw.»<ww..+rwn Name3 !'t .�taiY: Ewe' E r' Address E ..e r Telephone (0-00) 000-0000 ext. x ext. S# - Birthdate o w -0000 - 00/00/00 000-00-0000 — 00/00/00 Section R { (s) axe ....... .... Leave Data u.«x ... .... �iw'ep n ;i.� i.. � � L Data - �ell (Provide Comments A r�`Reason Sit Date 00/00/0 AI 1 Y<�. Stop Date oo o Eligiblefor Rehire $250 stipdend per pay period to co-lver 1"n erm leadership dtities for the next three month section Core Items (Curren t Data Required) --------------------- F — Real Currmow=w Data New Data tjob#­ -,-f"-obVi t. - "1 � ��. � u i ty ��.�1�h�z�, ate 000-00-< nt i e Hire — Position -o8/3'1/,0.7 OiR'I . 00/00/00 -- 00/00/00 tc 1flo x :: S ., +w 'E"i. 'Require-"/, :r.� .,.� � d ,°i�.1.� �'T�.., a� sr+ «. «,..�,n,..a.,,................�.._._._, _. tern Cllrreiit Data Vet at Band / Step Stipend $oo.0000 Pay Type/Ft,SA A A TE A A Sect'#:fit' 7 - AuthorIzIng Signatures . Department: "r -c. Human Resources: Date: R Board. Approval�� ���I -ed NotReqlj)red C 7. a+i i r fi Ag rp�g P cj- ji Li D a to ; �f✓.Mr� � � } 3