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HomeMy WebLinkAboutPersonnel Action Request - RenewivERSO.NNEL ACTION REQ.UEST: (PAR c , Data Re, Sectio i — Corgi y" Dab -,t (Curr. lit qui vmplore-d) 3 ame .-A derso , Dell w-Eff Se On 2 E-nitp[OYC . $1. a ep. us, xf a I el)ata (Rcqu*rcd.fbr'New' -ire 8 aratio -ori Ch uging) Ite-ni W.. a OirllvhtData� N. �-tq D' tez Name .... ..... En r> .A 1. .................. .<.t•n. te,r> Telephon-e (00-0.) 000-0.00 0 �ext SS# - Bir-t.date. 000--oo-o-0-0000/0,0/00 0*00-007:0000 — -0-0/00/00' - -- ------ -- - section q: -Requested.AU60,-n Abdo" nW Ledv:e Dota- Seplara-Hon D hh ta Psoh osition'- Prom Change ProtiType Reci on Sr Date oo'/,.0AA:StoV Dat,O 00/ible00/'0 El for Re..7 0 ..9l .. IV. S Cornments A. COUOR 4 %• t a.5 V 61:,-� '0", 11. C, .4 Section. 5: core items rent Data Requ.wea) Ite-M Cutren*t Data I'Vew- Data: Dept# -Dept Grl:,S-Grant Mental.Healtheare-.-Io80.00 A 'A ---------------------------- Job Title • ----------- (Interi 1.50-31rector Clinical Se- r-vic-es V -Executhre, Director M. 11fre — Po*sition . 07 /Ql/'.19 - 07�/-01/19� ......... G rp # Na 'me M NO2-Departm nt Head NO.2-.Depart ent Head Employee 'ull TI - M e: Re.uI ar RillTimeRegula ....... r ......... Ste on 6 — Secondary.Items (Required only if Cb.;m gp* ...... ..... Item Current Data New �Datn- Base.:'Wage Onthl nthlv-,z- Band Step en Stip-d .0.00 <- Olec. t I� $00 . 0.000. Type> $000 S P4y,-T-,,v-pe FLSA Exempt (SALRYI) -A FTE L:O (40 hxs/Nl�k) A FTE—GrIS OnIv <..Enter> < Enter> W.O.rkN,V, ee.... st.andard-l-Sun.S.a.t. Sectio"n 7 Auth-,6 ritz- mig Si gpa ires Department. 'Date: Haman Res'our-c'e's"*+ -D Board Ap P.WVal I. -Lur q, 're Req, ed Not R- e u* d - Chair.,, - ---------- Vice -Chair: Datel*- Membe'n. . . . . . . . . . . . . -t .� vIlk Rev'sed..09 /23 /19