HomeMy WebLinkAboutPersonnel Action Request - New Hope DV/SA (003)PERSONNEL ACTION REQUEST (PAR)
Section 1 — Core Employee Data (Current'Data Required)
Empl#. 5190
Legal Name: Dieng, Tara
Effective Date: 02/05/23
Section 2 — Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name Legal
Pre ferred
<Enter>
Address
<Enter>
Telephone
(00o) Ooo-0000 ext.
ext.
SS# - Birthdate
000-oo-0000 — oo/oo/oo
000-00-O000 — 00/00/00
Section 3 Requested Action
Action(s)
Leave Data
Separation Data
Wage Change - Reclassification
Position Change - Promotion
A
Start Date oo/oo/oo
Stop Date oo/oo/oo
Type
A
Reason
A
Eligiblefor Rehire A
I Provide Details 9f Separation Below
Section 4 — Comments
A new position (Lead Leg&l-attd-l—rru—jttni't)F�Advocate) was created for New Hope. With the new
position came a reclassification and approval through the new Position Management Committee With
Grant County.
Section 5 — Core Itenis (Current Data Required)
Item
CurrentData New Data
Dept# -Dept
New Hope -128000 New Hope -128000 A
Job# -Job Title
170 -01 -Legal and Community Advocate 170 -27 -Lead Lt%T&--*-160-ff-R:i�ityAdN,,-ocate
Hire — Position
01/24/11 - 02/01/12 01/24/11 - 02/05/23
Grp# -Name
N05 -Non -Exempt N05 -Non -Exempt
Employee Type
Full Time Regular Full Time Regular
Section 6 — Secondary Items (Required only if Changing)
Item
CurrentData
New Data
Base Wage
$28.99 Hourly
$30.12 Hourly
Band / Step
07/07
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-, ca4 /_8 Date: 31.23
Human Resources- Date
Board Approval Required Not Require ' d
Chair:
Vice -Chair: C 14 Date:
Member:
Revised 11/28/2022