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Personnel Action Request - Human ResourcesP"ERSONNEL sedl*oxl.i - C c Employee Data (Current Data egtl*red) - iil ► 9 Lecral Name: f 4k \ -vier t [ Effect" Dale. 9/2 Section tz -- Employee Data (Required forNew' Hires, Separations, or if Chan'Thig;) Item CLUIlreynt Data New :data ....... y.. . Name Cl0 Legal Brittany Beazer <r-,int.er> Address 1 - <Enter> � _ ext. Telephone _ # - Bifthdate 000-00-0000 -- 00/00/00 es Aciion Action(s) Leave Data Separation.. data Wage Change M Step Increase A A Start .Date oo/oo/oo Step rate o / o//oo Type n Reason Eligi le,forRehire A Pro uide .details a f Separation Belo �.rit ate j �nerease: 'Seciioil Core' Itenis (Current Data Required) Item Current: atCl New pato Dept# -Dept District Job#-Jo.b Tale 102 -0 s8'stant a .(1 iLiistrGitor .. Hire -- position o /o /. - O/ .6/ y Grp * - wMme No i l.an gel.,. 'per Y A4io Employee 'T�TQ Fell Ti'me Regular A ectio1 . 6.- Secondary l-tenis (Required only if Changixig) Item Cu.r'rent ;data New Data ase.Wage `'`5,730,40 MOIlthly 5,891:6x- MQ'nt .l x Band. / Step 12/01 -12 f 0 1 Stipend ; Oo.0ooO < .elect T�- e> soo.0000 < elect T ` e> Pay TyPe/FLSA Exempt (SALRYE) Exeni t (SAL .YE) `T 1.0 (4o hrS/-vvl0 1:0 (4o rstwk) : Tt -- rI S Only < Enter-> < Enter Workweek Standard Sun --Sat Standard Sun. --Sat Section 7 -- . .ixthorizli tg Signatures Departrrert.�, ° Date 44 03/0212023 Human Res\! ur F Dy4t0- Y✓ Board Approv I quired . ' Not Requirl -d ' Chair: i Vice -Chair: Date: Member: