HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL .ACTION REQUEST (PAR
Section x - Core Employee Data (Current Data Required)
Empl# : 3702
Legal Name: Brissey, Tina 7
Effeeth7e Date: 03/05/23
Section 2 -- Employee Data (Required for New Hires, Separations, or if Changing)
Item _
Current Data
New Data
� 031
Name -1 ['rferrtd
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
) - ext.
SS# - Birthdate
000-oo-0000 - oo/oo/oo
000-00-0000 - 00/00/00
Suction 3 - Requested Action
Action(s)
Leave Data
'Separation Data
Wage Change - Reclassification
^
^
Start Date 0o/oo/oo
Stop Date oo/00/0o
Type
^
Reason
^
Eligible for Rehire ^
Provide Details oe oration Below
Section 4 - Comments
Position Date is reset to 03/05/23.
5.76% Increase:
1.25% 1/2 of next Step increase +x}.51 % promotional increase.
Section 5 — Core Renis (Current Data Required.)
Item
(7urrent Data New Data
rept#-Dept
Human Resources -0o1124 ^ ^ ^
Job# -Job Title
124 -03 -Hunan Resources Clerk 124 -09 -HR Administrative Assistant
Hire — Position
o6/o6/11 - 09/01/22 o6/o6/11 -- 03/05/23
Grp# -Name
N05 -Non -Exempt ^
Employee Type
Full Time Regular ^
Section 6 - Secondary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$28.28 Hourly
$29.91 Hourly
Band / Step
07/o6
10/03
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
Non -Exempt — Salaried (SALYNE)
^
FTE
1. oq.o hrs/� k)
^
FTE-GrIS Only
< Enter>
< Enter>
Workweek
Standard Sun -Sat
^
Section 7 -- Authorizing Si&matures
Department: Date:
• 'I
Human Resources:
. �-, .Date. r
Board Approval Required Not Required
Chair:
Vice -Chair: Date:
Member:
L! I,d 1 veali 1 I! I Q P) A I I