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Q_� <br />KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) _ <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />Sorensen <br />FIRST NAME <br />Julie <br />EMPLOYEE # <br />S1310 <br />EFFECTIVE DATE <br />01/01/2017 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION REASON FOR SEPARATION <br />FULL-TIME (1) <br />❑ PART-TIME (2) <br />❑ LIMITED PART-TIME (3) <br />❑ TEMPORARY (4) <br />❑ CASUAL (5) <br />❑ SEASONAL (6) <br />❑ PROJECT (7) <br />❑ WORK STUDY (8) <br />❑ VOLUNTEER (9) <br />❑ NEW HIRE <br />❑ RE -HIRE <br />-9-{v IRMTI-Smr, <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />aTERMINATION (Provide Separation Info) <br />HER (Describe Below) <br />❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ OTHER (0) ❑ OTHER (0) <br />❑ Eligible For Rehire ❑ Ineligible For Rehire <br />Provide Details of Separation Below <br />COMMENTS -. Wage rate change consistent with wage rate survey and revised position description. _ �J�� v D om, <br />SECTION 3: POSITION DATA _ <br />Enter existing datafrom CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />PROGRAM ASSISTANT <br />4-H Program Coordinator <br />OCCUPATION CODE <br />2448 <br />UNION CODE <br />40 <br />PAY GRADE <br />248 <br />STEP / POSITION <br />6 <br />FLSA STATUS <br />Non -Exempt ❑ Exempt ❑ Not Covered <br />Il Non -Exempt ❑ Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible 0 PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible 0 PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />4/11/2000 <br />ADJ HIRE DATE <br />12/1/2003 <br />POSITION DATE <br />4/11/2000 <br />LAST RAISE DATE <br />1/1/2016 <br />till _' <br />BASE WAGE <br />$ 2,999.00 <br />0,'149.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />❑p 100% [:180% ❑ 75% ❑ 60% [:150% <br />❑p 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 2,999.00 <br />$ 3,149.00 <br />PAYMENT METHOD <br />❑ HOURLY Il MONTHLY <br />❑ HOURLY 0 MONTHLY <br />DEPARTMENT <br />WSU EXTENSION <br />BUDGET NUMBER <br />A. 001 000000000001851001 %: 100.00 <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />❑' Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />To continue any allowance, stipend, or other, it must be listed in both columns for audit purposes or the amount will default to "0". <br />ALLOWANCE (Detail in Comments Section) <br />$ 0.00 <br />$ 0.00 <br />STIPEND (Detail in Comments Section) <br />1$0.00 <br />$ 0.00 <br />OTHER (Detail in Comments Section) <br />$ 0.00 <br />$ 0.00 <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />Ej+ir HF�AD / E ED oFFICK <br />D E <br />BUDGET/PAYROLL f7 DATE <br />/d <br />HU AN ESOURCE <br />DA <br />COMMI <br />C' £R #2 <br />DATE <br />CO DATE <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE — ID — S — AA — S) Initial <br />N <br />