Aberdeen School District No

COLUMBIA SCHOOL DISTRICT NO. 400 PERSONNEL ACTION FORM (PAF)

Date: ______This action requires a posting: _____ Yes _____ No

This form must be completed for ANY type of personnel action or change of work status. The following information MUST be provided to the Personnel Office BEFORE an employee begins work or changes status. This must be signed by the supervisor and program administrator (if appropriate) and forwarded to the District Personnel Office. Employee's Name: ______Type of Action: _____ New Employee _____ Resigned Location: ______Increase in Time _____ Retired _____ Decrease in Time _____ Termination Position: ______Leave of Absence _____ Other ______Classification: Duration of Position: _____ Certificated _____ On-going Replacement for: ______Classified _____ Non-continuing _____ Unaffiliated _____ Temporary/CYO In-district Transfer: From ______To ______

Beginning Date ______Ending Date ______SPI Code ______

BASE CURRENT ASSIGNMENT NEW ASSIGNMENT MUST also show base current assignment REGULAR REGULAR CERT CERT ACCOUNT CODE HRS/ # ACCOUNT CODE HRS/ # FTE FTE DAY DAYS DAY DAYS

Union: ______Salary Schedule: _____ Step: ______Hourly Rate: ______Board Hire Date ______

Comments: ______

______

Supervisor's Signature ______Program Admin. Signature ______

Payroll Office: ______Date: ______

Superintendent: ______Date: ______10/07