Fillable Request For Change Of Assignment (Pasadena City College)

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Request For Change Of Assignment (Pasadena City College)

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The Request For Change Of Assignment (Pasadena City College) form is 1 page long and contains:

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  • 28 check-boxes
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File type: PDF

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Pasadena Area City College District
Office of Human Resources
REQUEST FOR CHANGE OF ASSIGNMENT
____________________________________________
Employee Department
Academic Classified
Tenured Monthly
Contract Acting
Temporary Substitute
Management
Current Assignment
Title Range Percent Months
New Assignment
Title Range Percent Months
REASON FOR CHANGE: EFFECTIVE DATE OF CHANGE: FROM____________TO:_____________
Termination Leave of Absence Change of:
Resignation Sabbatical Classification
Retirement Unpaid Title change
Termination Suspension Assignment (monthly only)
End of Assignment Other: Salary
Deceased _____________________ Percentage (monthly only)
Voluntary (
requires signature of employee)
____________________________________
Involuntary
Labor distribution (see below)
Hours/Shift Differential (specify under
“Remarks” below)
LABOR DISTRIBUTION ASSIGNMENT (S) – 14 DIGITS REQUIRED
Current Assignment New Assignment
%
%
%
%
%
%
REMARKS:
AUTHORIZAT
ION: _____________________________ ________
___________
Cost Center Manager Date
_____________________________ ________
___________
Asst. Sup./
Vice President
Date
_____________________________
___________________
Vice President, Human Resources Date
Office Use Only
Position Control No.____________________________________ Entered:_________________________
Distribution by Human Resources after approvals have been obtained: Fiscal Services/Payroll
Request for Change of Assisgnment-7-11-16 Lo
__________________________
__________________________ __________________________
__________________________
__________________________
__________________________
__________________________ __________________________
__________________________
__________________________
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Request For Change Of Assignment (Pasadena City College)

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Completed 21 July 2020

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