1. EVERETT PUBLIC SCHOOLS





    altEVERETT PUBLIC SCHOOLS

    HUMAN RESOURCES DEPARTMENT

     

    PERSONNEL ACTION FORM


     
    Section 1 New/Vacant Position Information

     

    Position Type:

    [ ] Administrative        [ ]Certificated          [ ]Classified

    [ ] Regular [ ] Temporary [ ] Long-Term Substitute [ ] Non-Continuing Contract

    Extracurricular (classified):

     [ ]Boys [ ]Girls;  [ ]Asst [ ]Head;  [ ]1.0 [ ].5 [ ]Other: ____  

    Position Title:        Location:         From:       To:      

    Assignment:        Grade Level/Subject Area:      

    Additional Information:      ___________________________________________________

     


    Go to Section 3 and 4. These sections must be completed.
    Section 2 Change in Current Employee Status

     

    Employee Name:         [ ]Certificated [ ] Classified

    Current Position/Assignment:      

    Location:      

    Additional Information:      


    Go to Section 3 and 4. These sections must be completed.

     
    Section 3 Action Requested

     

    [ ]  FTE        [ ]  Account Codes

    [ ] Hours Per Day       (Class)       -     

    [ ]  Days Per Year       (Class)       -     

    [ ]  Position/Assignment      

    [ ]  Effective Date From       To      

    [ ]  New Position

    [ ]  Rehire

    [ ]  Resignation of (name)      

    [ ]  Retirement of (name)      

    [ ]  Leave of (name)      

    [ ]  Transfer of (nam e)      

    [ ]  From:       To:      

    Additional Information:      
    Section 4 Approval

     

     

    Requested By: _alt___________________________________  Date:      __

     (Administrator with Budget Authority)
    Section 5 Human Resources Use Only

     

    Position Opening: Approved: _____________ Not Approved: _____________ PCN #: __________________

     

    Contractual Status: Continuing ________ Provisional ________ Non-continuing ________ Long-Term Substitute ______

     

    HR Analyst Approval: ________________________ Date: ____________________ Highly Qualified: [ ] Yes [ ] No

     

    Information for Posting: Position Title ___________________________________________________________________

     

    Employment Status: ________/ (Hours/Day) __________/ (Days/Year) Salary $____________________________

     

    Job No.: _________________ Date Posted: ____________________________

     

    Approval for Hire: Candidate Selected: _______________________________________ Start Date: _______________

     

    Approved: __________________________________________________ Date: ________________________________

         Executive Director of Human Resources

     

    Revised 08/03/06


     

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