PLAYGROUND ASSISTANT EMPLOYMENT NOTICE
Human Resources & Equal Employment Opportunity
SSN
Last Name
-
-
First Name
Birthdate
/
/
Gender:
M
F
Address
Phone
City
State
(
st
STATUS:
)
-
Colleague ID:
Zip
New Hire – 1 time as Playground Assistant
Continuing Playground Assistant at Same Level
Continuing Playground Assistant at NEW Level
Assignment is limited to current fiscal year (July 1 to June 30), regardless of appointment date
BEGINNING DATE OF EMPLOYMENT
/
Main Campus CDC
East Campus CDC
Level:
Playground Assistant I
Playground Assistant II
Playground Assistant III
$12.00/hr
$14.00/hr
$16.00/hr
/
mo
ENDING DATE OF EMPLOYMENT
Location:
day
/
yr
/
mo
day
yr
WORK SCHEDULE: (enter # of hours) (Not to exceed 35 hours per week):
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours:
Attendance Advisor:
Phone:
Supervisor of Record*:
Phone:
* Manager or Supervisor who is authorized to sign timecards
BUDGET:
Fund
Area
Location
Cost Center
Fund
Area
Location
Cost Center
%
Object
Percent
Object
Percent
-
%
AUTHORIZATION SIGNATURES:
Manager:
Date:
Human Resources:
Date:
For Office Use Only
HR-07
For Human Resources Office Use Only
Child Abuse Reporting
Retirement Questionnaire
Paperwork Complete
/
Employee Rights
Physician Designation
MCOE
/
/
/
Fitness to Serve
Copy of Social Security Card
Colleague
/
/
Employment Application
Warrant(s) Recipient Designation
Payroll
/
/
I-9
Fingerprints
Board Action
/
/
W-4
TB Test
Playground Assistant Employment
Conditions
Standards of Employment/Service
Agreements
Revised 07/14