HTS Form
Hiring, Transfer, Salary Change
Status of Employment
HTS Status
Please Select
New Hire
New Position
Change Form
Resignation
Termination
Employment Status
Please Select
Full Time
Part Time
Fee for Service
On Call
Temporary
Leave of Absence
Suspended
Lay Off
Department
Please Select
Administration
Finance
HR
Community Services
Project LAUNCH
Head Start/Early Head Start
Contact Information
Name
First Name
M.I.
Last Name
Social Security Number
Home Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Residential Address (If Different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Designation
Grant Designation
Location
Position
Supervisor
Pay Information
Salary/Wage Exemption
Exempt
Non-Exempt
Pay Rate
Current Salary Level
Pay Effective Date
-
Month
-
Day
Year
Date
Reason
Original Hire Date
-
Month
-
Day
Year
Date
New Position Hire Date
-
Month
-
Day
Year
Date
End of Introductory
-
Month
-
Day
Year
Date
Authorized Hours
Authorized Weeks per Year
Credential/Degree Status
Current Awarded Credential
Current Awarded Degree
In Progress of Credential/Degree
Change Form
Change From
Change To
Reason
Effective Date
-
Month
-
Day
Year
Date
Leave
Leave Type
Please Select
Administrative
FMLA
Furlough
Layoff
Termination
Recall
Resignation
Reason
Effective Date
-
Month
-
Day
Year
Date
Voluntary?
Voluntary
Involuntary
Submit
Should be Empty: