HomeMy WebLinkAboutPersonnel Action Request - New Hope DV/SA (004)PERSONNEL ACTION REQUEST (PAR
Section 1 -+Core Employee Data (Current Data Required)
Empl#: 3317
Legal Name: Gonzalez Long, Debra
Effective Date: 02/05/23
Section, 2 -- Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New .Data
Name _ Lev]
i'referreti
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
- ext.
SS# - Birthdate
000-oo-0000 — oo/oo/oo
000-00-0000 -- 00/0O/00
Section 3 - Requested Action
Action(s)
heave Data
Separation Data
Wage Change - Reclassification
Position Change - Promotion
A
Start Date00/00/00
Stop Date o0/Oo/oo
Type
AA
Reason
Elicgihlefor Rehire ^
Provide Details of Separation Below
Section 4 - Comments
A new position (Lead +nn*ity; Advocate) was created for New Hope. with the new
position came a reclassification and approval through the. new Position Management Corr mittee 'with
Grant County.
Section Core Items (Current Data
.Required)
w Item
Current Data
.New Data
Dept# -Dept
New Hope -128000 A
New Hope -128000 n
Job# -Job Title
170 -o1 -Legal and Community, Adv ocate
170-27-L.ead gA4-&uumi:Advoeate
Hire — Position
o8%31/O7 - 08/31/07
08/31/07 - 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
Current Data
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>
Payr Type/FLSA
Non -Exempt --- Salaried (SALYNE)
Non -Exempt — Salaried (SALYNE)
FTE
1.0 (4o hrs/-vvk)
1.0 (4o hrs/wk)
FTE—rIS only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
Standard Sun -Sat
Section 7 -Authorizing Signatures
Department: �,{r ,�, fid: Date: 3.1.23
Human Resources: A Date:'{
Board Approval }` Required Not Requir d
Chair;
Vice -Chair: Bate: x
Member: .
gin
yif rub
i lr
Revised 11/28/2022