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HomeMy WebLinkAboutPersonnel Action Request - New Hope DV/SA (004)T -t It rEt�_S- ONNEL ACTION REQUESrr (PAR) 519 0 Tara Effecth#e Date: .10/01/2-9 .� ........................,.,..s... .„...,.......s..,� C sY1y gt g .. 't ypyi#Ye { #. 7€ i }y }t i`jE Employee Section (Requiredfor t `e #t tt's , Se4 ye t tYl's orif .................-,-„-,�,o-,.,00,.s. Item m,...r.s. ...-.«.e..,wi-�,yy....�,.�'1..�w,3u..r.�-.,�s�.�r�.nrw�.�,..--�,,.,.,,s,.n.�w.r.,..w*z.,-ns,,.s.w.s,,........,.... L.s u A g , {.v n i.• Va ta INT., u D (i LYt-# 4� � � 3t#;� �. � p r jP } �(}-+,-,r �� t., �' tEr ._...d............r...,e�..,_...�».._.....,........................i "I. -' el h tiJ 3 e ....... ,.».,...,,.»,..„,....-..+..»r,.,.a.r..,.s.,,.,....�.w,,,..,... -.s.,,.....,...,.,.,...-..,u,.......w„-..„.�,.-.s�,,,..,,..w,,.......�w.,r (Ooo) 'hwP +i,.� - o '40 o o ext. + - ext. It t ' — Bitthdate - .'. s.,.,,r ..,ar...„.,.:r.:s..s:r-.ss. ....�w„,u.ars.....w................�....,.,a,...,.�,.w.r:ws.:o,....<..r. 000-00-0000 — 00/00/00 000-00-0000 — 00 ­___Aelion(s) Section 3 Requested Action Leave Dcita Separation Data Other (Pro�lyide Comments) A Ty P e Reason Start Date / � �.r� w� �, A r� ASto A�-�y} {�'"�} JJj jff Ear i g i . 4 e1Po r� � k fir; l l iTii.� LLL F T o me D j jJ S Q f S { J j Below `'y� l J J r $250 stipdend pet, p .y period. to cover interim leadership dLIti S fOV the neXt three mon'h 1 g$ pp yy^^y J ^'yy �-y Co� t ^� }� 7� Y� ^[ �iL ^�,g )r- t i (. .}. r X�L.i..i,:�ion :3 - id re nis u. 1T2.` I.i+b� AL�ta .rR TGtui e 7i .. n.,+,.*.rswwe,+-.,,*.w,,..0.s,:..,,:.r-_..._.,:sem-.w.a..srvds..,.,cr.nr.,s.sv�,�avwm+a,cew,ws,.sr «w..,s,w-..w,.,e....w,,,.r,.,.,.,,,+,..,.,.,,......,.......e+,..,,,.,..v.,..-.:..-,,.-....,..-w,.,-,-..-.r.,w„ --<-+- .-r--"•,.,- ,.s.�rr» _ i Dept# --Deet - i Neiv- Hope -128000 A .. "car,. ••• - •,.. • -.. ,w.unewrw.anwsrn..,,«r,wviinun+sua�..,r:wa.ci �.W✓MM ......i. Hire Position .wnw.vw,_,.w,...,.,vn.nvr.�.,.,.r.✓-.x„w.-nm_n, u.r..ia., .nuu,. u. �a nn.+nnwinn✓. ,mw�v,w,_nru�✓n...w.n„rr .w.rw 1 -,° } � n,wronrv�„s,nwrw.,......................... ay.wmw�,w.w. 00/00/00 M 00/00/00 .wun+.�./,ueM1MrFaecw..ar.ssurtes»wi,+uvnx......«,....w.w+r,�+nr,erwtroucr. ..�......,.rr.ase+r„ew»nrryrowm✓wx»wnw.zrvne�n�i,ris,+mm,�iitetm+�we,r„t„+-�i+smnwuun,,, ,..�r_.._._..�,a.,,....''Y]/w'..,.,<....,<e..r..S.'.�.,{,.'`� ... .. ... ,ni,:erw ,y...a,�.�....' aum j_...����._....f.:"',y��.}.°.'.�j,.,.a,..,.,.,, Employee TvPe {{�;..,Y,<",},,.t,...,.,,,..,w<,.M,.,,...n,. ,j''�, f �Regular a-,- ...�................... ......,,...-,,.w,»�.�..»r.�,. .,. .. ,s...>. evfioti 0 S;c'+.l.i,AOti*"s.Rents .s.(Required only it 1 Item CurrentData New Datu Base Wage $oo,,00 <S ec qwle'> 80000 <Select Cy le B and f Step Stipend et Sl mooS e7,I e> ..w....,..,r...sr„.s,.v.w..,,...r$,...,s.- ...,..,.sso......... ..oo.»r.\.»S,w....e,....._..,c..._#....T..,._-N...,e-..p....._e « .._. Pay T�rpe/FLSA A A FTE A A (J�'yj. {{!! j[(( qty t1_ i/-^y' Workweek i ......,,-r.-..-.,+,a..--m,«.s+r-.e„.rr�e,,,.�,..,,.....»sr.r+,.w Section 7 Atjthor*IzI'ng Signatures e � � rtm e t: J � � � 44�� i Human Resources.- Date: Board prox!al Required dot Required ii.. ir.' ;_ 4-W Vice -Chain, te: Member: