HomeMy WebLinkAboutPersonnel Action Request - Public Works (002)PERSONNEL ACTION REQUEST (PAR)
Section 1 - Core Employee Data (Current Data Required)
Empl#: 3864 I.Legal
Name: CASTRO, SAMUEL R. I
Effective Date: 05/04/20
Section 2 - Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name C1 p e erred
Samuel R. Castro
<Enter>
Address
<Enter>
Telephone
( ) - ext.
SS# - Birthdate
000-00-0000 — 00/00/00
Section 3 - Requested Action
Action(s)
Leave Data
Separation Data
New Hire
^
^
Start Date oo/oo/oo
Stop Date oo/oo/oo
Type
^
Reason
^
Eligible for Rehire ^
Provide Details of Separation Below
Section 4 - Comments
One time relocation expense of $3,000.00
Vacation Accrual to start at 16 hours per month with 8o hours on the books to start.
Samuel _castro_66 @yahoo.com
See attached letter
Section 5 - Core Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
^ Public Works -101050
^ ^
Job# -Job Title
189 -01 -Director of Public Works
000 -00 -<Enter Title>
Hire — Position
05/04/20 - 05/04/20
00/00/00 - 00/00/00
Grp# -Name
Noe -Department Head
^
Employee Type
Full Time Regular
^
Section 6 - Secondary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$11703.20 Yearly
$oo.00 <Select Cycle>
Band / Step
23/05
/
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
Exempt (SALRYE)
^
FTE
1.0 (4o hrs/wk)
^
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
^
Section 7 - Authorizing Signatures
Department: Date:
Human Resourc Date:
Board Approva Required ❑ Not Required g
Chair:
Vice-Chair:
7—Member: R�c
Me n • r A i3 niinn