Fillable Personnel Action Human Resources n Transaction Type Appointment

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Personnel Action Human Resources n Transaction Type Appointment

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FOR HUMAN RESOURCES/FINANCE USE ONLY
Human Resources
Personnel Action
Employee First Name MI Last Name Employee Number PCN Series #
Initiator Department Today’s Date
Please select only one in each category.
Transaction Type
n
Refill
n
Establish
n
Reclassify
n
Other (specify below)
_______________________________________
Appointment Type
n
Permanent
n
Temporary
n
Emergency
n
Other (specify below)
_______________________________________
Employment Type
n
Full-time
n
Part-time
n
Other (specify below)
_______________________________________
Current Title/Job Classification Proposed Title/Job Classification and Step
Bargaining Unit Effective Date Weekly Hours (Full or Part-time)
Dept Fund Account Program Chartfld 2 SID % Est. Fringe
Justification (go to second page if more room needed):
REQUIRED SIGNATURES
Hiring Department Date
Dean Date
Finance and Administrative Affairs Date
Human Resources Date
CEO Date
New Rate (biweekly) New Rate (annual)
Annual Fringe Actual Fiscal Year Cost Actual FY Fringe Cost
October 2018/PR
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Personnel Action Human Resources n Transaction Type Appointment

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Completed 25 July 2020

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