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Personnel Action Request (PAR)

Form 105 094 Rev. 11/13 Page 1 of 2 Personnel Action Request (PAR)Section I: Employee InformationPrefix: Mr. Mrs. Ms. Miss Dr. First Name:Middle Name:Last Name:Suffix:EMPLID:State ID:Section II: Action /ReasonEmployment: Admin/Prof Faculty FT Admin/Prof Faculty PT Classified FT Classified PT Teaching Faculty 12 month Teaching Faculty 9 month WD Adjunct Wage Hire P-14 Student Hire/College Work Study Federal Work StudyPosition/Employee Actions: New Hire Budget Code Change* Position Extension Pay Change* Supervisor Change* Rehire Position Number Change Additional Assignment Status Change: Full Time Part TimeEmployee Pay Actions: Competitive Salary Offer Demotion Involuntary Demotion Voluntary Promotion* Role Change*.

Form 105–094 Rev. 11/13 Page 1 of 2 Personnel Action Request (PAR) Section I: Employee Information Prefix: Mr. Mrs. Ms. Miss Dr.

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