Request For Board Approval Of Personnel Action Form
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1REQUEST FOR BOARD APPROVAL OF PERSONNEL ACTION
GREAT NECK PUBLIC SCHOOLS -
TO:
HUMAN RESOURCES
FROM:
DATE:
DIRECTIONS: This form is used to request board approval for personnel action. It is also used whenever an employee is being paid through a federal code. When
possible, please send to Human Resources 30 days in advance of planned service date. Once board approval is obtained, the form will be returned to the administrator.
Actions to Be Taken:
.
Please check off appropriate box
Attach any appropriate back up, as needed.
Appointment
Change
Deletion
Termination
Other
If appointment, please indicate negotiating unit: _______________________________________________________
Reason for Board Approval:
Please check off box & provide detail in space provided (use the Additional Information lines below, if more space is needed).
Activity: ________________________________
Club: _____________________________
Inservice: ___________________________
Meetings: _______________________________
Mentoring: _________________________
Summer Work: _______________________
Test Proctoring: __________________________
Translating: ________________________
Work Out of Title: ____________________
Athletics
: ___________________
Phys Ed
: _________________
Recreation: __________________________
(e.g. coach, crowd sup)
(e.g. intramurals)
Other: _______________________________________________________________________________________________________________
Payment Information:
Please complete all appropriate boxes. If providing a list of employees, you may attach a separate schedule in lieu of completing boxes.
Employee Name
Position
Location
Dates
Class/
Rate/
Hrs/Wk
Total
Total Pay/
Budget Code
From - To
Step
Index
Hrs/Yr
Salary
-
-
-
-
Additional Information: ______________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
Signature of Administrator: _________________________________________________________________________________
Date: _____________________
F
H
R
U
OR
UMAN
ESOURCES
SE
Conditional/Emergency Staff Appointment
Request Approved by Board: ______________
Signature: _______________________________________________________
Date: _____________________
REV. 01/06
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Parent category: Business