HomeMy WebLinkAboutPersonnel Action Request - Development ServicesPERSONNEL ACTION REQUEST (PAR)
Section'I - Core Employee Data (Current Data Required) '
Empl#: 3175
Legal Name: Hooper, Damien
Effective Date: 11/16/20
-.. Section 2- Employee Data (Required for New Hires; Separations,p or if Changing)
Item
Current Data
New Data
Name ° I I
❑ Preferred
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
( ) - ext.
SS# - Birthdate
000-oo-0000 - oo/oo/oo
000-00-0000 - 00/00/00
"Section 3 - Re uested Action
Action(s)
Leave Data
Separation Data
Wage Change - Step Increase
A
^
Start Date oo/oo/oo
Stop Date oo/oo/oo
Type
n
Reason
^
Eligiblefor Rehire n
Provide Details o Se aration Below
Section 4 - Comments
Employee Review
Section 5 -"Core Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
Dev Services-Planning-oo1111
Job# -Job Title
111 -14 -Director - Development Service
-
Hire — Position
o6/o1/07 - 11/02/17
-
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
$53.36 Hourly
$54.75 Hourly
Band / Step
22/05
22/o6
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
Exempt (SALRYE)
Exempt (SALRYE)
FTE
1.0 (4o hrs/wk)
1.0 (4o hrs/wk)
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
Standard Sun -Sat
Section 7 - Authorizing Signatures
Department: Date:
Human Resources: Date: 12/01/20
Board Approval Q Required ❑ Not Reqt4ed a ;
„A.
Chair:
Vice -Chair: Date:
Member: i E C E
GRANT COUNTY4QT),