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HomeMy WebLinkAboutPersonnel Action Request - New Hope DV/SAPERSONNEL ACTION REQUEST (PAR) Section 1 — Core Employee Data (Current Data Required) �. Empl#: 5866 Legal Name: Hallatt, MariaL_ ]-Effective Date: 02/05/23 SeCtiOn 2 — Employee Data (Required for New, Hires, Separations, or if Changing) Item Current Data Nety Data l Name Preferred �,Y < Enter> Address < Enter> Telephone (000) 000-0000 ext. - ext. SS# - Birthdate 000-oo-0000 — 00/oo/oo 000-00-0000 — 00/00/00 Section 3 - Requested Action Action(s) Leave Data Separation Data Wage Change -- Reclassification Position Change - Promotion A Start Date o0/00/00 Stop Date 00/00/00 Type A Reason A Eligible for Rehire ^ . Provide Details o Separation Below Section,_4_— Comments A. new position (Lead 1 -an 6&mmenity Advocate) was created for New Hope. With the new, position came a reclassification, and approval through the neer Position Management Committee With Grant Coun" . Section 5 — Core Items (Current Data Required) Item Current Data New Data Dept# -Dept New Hope -128o00 New Hope -128000 Job# -Job Title 170 -01 -Legal and Community Ad'%rocate 170 -W27 -Lead- m:unityAdvocate Hire — Position 12/08./21 - 12/08/21 12/08/21 - 02/05/2; Grp# -Name Nos -Non -Exempt N05 -Non -Exempt Employee Type Full Time Regular Full Time Regular Section 6 — Secondary Items (Required only if Changing) .tern Current Data New Data. Base Wage $25.37 Hourly- $30,12 Hourly Band / Step 07/02 09/05 Stipend $250.p/pp Other $oo.0000 <Select Type> Pay? Type/ FLSA Non Exempt Salaried (SALYNE) Non --Exempt Salaried (SALYNE) FTE 1.0 (4o hrs/wk) 1.0 (4o hrs/wk) FTE—GrIS Only <Enter> <Enter> Workweek Standard Sun -Sat Standard Sun --Sat Section 7 — Authorizing Signatures Department:u Date: 3.1.23 f - M Human Resources: fi -. Date:4� 'r . N Board Approval Required ❑ Not Requir' Chair: - Vice -Chair: Date: Member: Revised 11/28/2022