Approval Workflow – Employee Change Request

1
Which campus is this for?
Bellingham
Blaine
Downtown
Ferndale
Sudden Valley
Network
2
What's your name?* This field is required.
First Name
Last Name
3
Your email address* This field is required.
example@example.com
4
Today's date* This field is required.
Date
Year
Month
Day
5
What is the desired effective date for this change?* This field is required.Please select a future date.
Date
Month
Day
Year
6
Employee affected by change* This field is required.
First Name
Last Name
7
Please check the type of change to be made.* This field is required.Select all that apply.
Pay Rate Change
Hours Change
Exemption Status
Supervisor Change
Position or Title Change
Job Description Change
PTO Change
8
Is this a mandatory minimum wage increase?* This field is required.
Yes
No
9
Please provide the proposed job description via Google Docs.Note: Set your sharing setting to "Christ the King Church can edit".
Google Docs URL
10
What is the proposed pay rate?Please enter the current rate, followed by the proposed rate. Note: You may select an annual salary or hourly rate.
Current Rate
Hour
Please Select
Hour
Annum
Per
Proposed Rate
Hour
Please Select
Hour
Annum
Per
11
What is the desired exemption status?
ExemptNon-Exempt
12
What is the proposed position/title?Please enter the current title, followed by the proposed title below
Current Position/Title
Proposed Position/Title
13
What is the proposed number of weekly hours?Please enter the current hours below, follow by the proposed hours.
Current Hours
Proposed Hours
14
What is the proposed amount of PTO?Please enter the current hours below, follow by the proposed hours and indicate whether this is a permanent or temporary adjustment.
Current Hours
Proposed Hours
Please Select
Please Select
Permanent
Temporary
Permanent or Temporary
15
Who is the proposed supervisor?Please enter the current supervisor followed by the proposed supervisor below.
Current Supervisor
Proposed Supervisor
16
Please provide a brief explanation for this change/changes.* This field is required.
17
To confirm, you're requesting the following personnel changes for {employeename}:

Current:

Pay Rate: {ProposedRate[1]}/{ProposedRate[2]}

Position: {position[1]}

Weekly Hours: {weeklyhours[1]}

Supervisor: {supervisor[1]}

Proposed:

Exemption Status: {ExemptionStatus}

Pay Rate: {ProposedRate[3]}/{ProposedRate[4]}

Position: {position[2]}

Weekly Hours: {weeklyhours[2]}

Supervisor: {supervisor[2]}

Job Description
18
Submitter Signature
Should be Empty: