Fillable MONTANA TE (PAF) physically working CH February 2020 (Montana Tech)

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MONTANA TE (PAF) physically working CH February 2020 (Montana Tech)

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:
________________
_________________________________
____________________________________
New Hire/Replacement
Visiting
Temporary
Change of Status
Compensation
Termination
MONTANA TE
CH
PERSONNEL ACTION
F
ORM
(PAF)
February 2020
Employee Name: Last First Middle Employee ID #
PERSONAL
INFORMATION
Department Campus Address (Building/Room #) Campus Phone
New Hire:
All new hires must report to HR on their 1st day.
CHANGE:
New Position
Part- Time Post Retiree
The state where
Compensation
Replacement
*
Temporary
Adjunct
physically working
*Replacement for:_________________
Change of Status
_____________EFFECTIVE/START DATE FOR THIS ACTION
____Proposed Title/Rank:_________________
Temp-Custodian
CLASSIFICATION
Faculty - Tenure Track
Letter of Appointment
Professional
Temp-Dining Service
Faculty - Non-Tenure Track
MUS Contract
Classified
Temporary/Fixed Term
Visiting Professor/Inst (LOA)
CONTRACT TYPE
BOR Contract
Temporary/Part-Time
North Campus
Workman's Comp Classification:
Highlands
High
Yes
No
Low
Is Position Union Eligible?:
Check one: CLASSIFIED or TEMP
Check one: PROFESSIONAL or FACULTY
Academic Year
Regular - Full-Time
FTE %:________
FTE %:________
Academic Year + 1
Part-Time Regular, Limited to _____________ Hours
ASSIGNMENT
Part-Time
Fiscal Year
Full-Time
Part-Time-Occasional or Short-term Assignments
STATUS
Part-Time Limited to _____________ Hours
Academic Semester
Fall
Spring
Summer
Period of Appointment or Service: From: __________ To: ___________
Separation/Termination
NATURE OF ACTION
Check All that Apply:
Compensation
Appointment
Foundation Supplements
Last Day Actually Worked:_____________
Summer Comp
Reappointment
Extra Compensation
Retirement - Normal
Overload
Change of Status
Retirement - Early
Deceased
Stipened
Promotion/Rank Change
Involuntary Termination
Merit
Compensation Agreement
Salary Adjustment
During Probation Period
Transfer
Tenure
For Cause
HR/PAYROLL OFFICE USE ONLY
Leave:
From: _____________ to _____________
Non-Renewal
Leave with Pay
Vacation
Sick Leave Resignation
Leave without Pay with Benefits Leave without Pay No Benefits
Reason Unknown
LEAVE
Moved
FMLA - Intermittent
FMLA
Health Reasons
Sabbatical Leave Spring Semester
Another Job
Fall Semester
Other__________________
Military Leave Parental/Maternity
Administrative Leave
REPORTING/SUPERVISOR
INFORMATION Reports to:_________________________Position#:__________________Title:_________________
HR/PAYROLL OFFICE USE ONLY
Compensation: Amount $ ______________
10 Months
SALARY
Frequency:
Index
Percentage
12 Months
INFORMATION
Hourly - Biweekly
Salary - Biweekly
Salary - Monthly
Hourly - Monthly
JUSTIFICATION OR
COMMENTS
HR/PAYROLL OFFICE USE ONLY
Initial & Date:
_____________
Dept. Head/or Director Date VC of Administration & Finance Date
Position #:______________
EClass: _________________
Dean Date Director of Human Resources Date
Original: Payroll
cc:
HR Director
cc:
Budget Director
Semester
One Payment
Other ________________
OE 4 PENSION PLAN
($2.50)
TEMP CARPENTER'S
$2 in lieu
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MONTANA TE (PAF) physically working CH February 2020 (Montana Tech)

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Completed 23 August 2020

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