HR Job /Change Form

HR Job /Change Form
*Note for Rehires: Staff must have separated less than 1 year ago, and confirmed by HR that they are eligible for rehire. Staff that separated over 12 months ago need to go through the entire New Hire Process again.
SELECT ACTION*

New HireRehireChange to current staff
**All wage increases and status changes MUST BE APPROVED by the Human Resources Director. Provide a REASON for the CHANGE requested.
Reason for Position Change or Wage Rate Change
Employee Name*

First NameLast Name
New Hire Email*
Supervisor Name*

First NameLast Name
Supervisor Email*
example@example.com
Employee's New Status

Part-TimeSeasonalSubOther
Employee's New or Additional Title (include titles such as Assistant, Lead, Coordinator for promotions/wage increases)*
**REMINDER:

Seasonal Staff include Summer Positions, i.e. Outdoor Lifeguards, Day Camp or Residential Camp Staff, Before And After School Staff

Temporary Staff include Referees or Coaches for one season, interns, some Child Care workers, temp-to-hire

A Start Date and End Date is Required.
Will the employee be seasonal/temporary?*

YesNo
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Hire or Effective Date*

MonthDayYear
Date
If yes, what does it need to be changed to?

Part-Time to Full-Time HourlyPart-Time to SalaryFull-Time Hourly to Part-TimeFull-Time Hourly to SalarySalary to Part-TimeSalary to Full-Time Hourly
- *NOTE: Changing the HOME GL and/or Wage Rate can cause an error in payment for other GLs if not set up properly in the wage rate program. Please be sure all other GLs are set up in the system to accommodate the HOME GL/Wage change, as well as informing other supervisors if the Employee is shared.
Are you wanting to make changes to:*

Employee's home department wageEmployee's additional position/GLBoth
If Yes*
Please complete for New Hire or Rehire (First GL listed will be Home GL)
ADD these Non-Home Position(s) for current employee
Would you like to DELETE any Non-Home Existing Position(s)

YesNo
If yes*
Please CHANGE existing Wage Rate(s)
New Hire*
Please upload signed documents. For New Hires, upload the signed Background Check Authorization Form, Job Application, and the Informed Consent Form if applicable.

Browse Files

Cancelof
Signature*
Should be Empty: