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\ab\af1\afs20\alang1025 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \ul\insrsid218758 
\par }\pard\plain \ltrpar\s21\ql \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \b\fs24\ul\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\f1\fs16\ulnone\insrsid218758 
\par 
\par }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\ulnone\insrsid3299880 
\par }\pard \ltrpar\s21\qc \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid2883745 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid2883745\charrsid861220 Position Evaluation Request}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid218758\charrsid861220 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\tx4590\tx5040\tqr\tlul\tx9000\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid2883745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\insrsid2883745 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2883745\charrsid861220 Requested by:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745\charrsid861220  ____________________________________ }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 
\b\f1\fs22\insrsid861220\charrsid861220 Date:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745\charrsid861220 \tab \tab 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tqr\tlul\tx8910\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid2883745 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745\charrsid861220 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx4590\tx5040\tqr\tlul\tx9000\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid2883745 {\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2883745\charrsid861220 *Department Head Approval:}{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745\charrsid861220   _______________________}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid861220 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid861220\charrsid861220 Date:}{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745\charrsid861220 \tab \tab 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tqr\tlul\tx9000\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid2883745 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745\charrsid861220 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx4590\tx5040\tqr\tlul\tx9000\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid2883745 {\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2883745\charrsid861220 *Executive Director Approval:}{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745\charrsid861220   ______________________}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid861220    }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid861220\charrsid861220 Date:}{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745\charrsid861220 \tab \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid2883745\charrsid2883745 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tqr\tlul\tx8910\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid2883745 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid2883745\charrsid2883745 
\par }\pard\plain \ltrpar\s21\qc \li6480\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin6480\itap0\pararsid2883745 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \b\fs24\ul\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs16 
\ltrch\fcs0 \f1\fs16\ulnone\insrsid2883745\charrsid2883745 *must have two signatures
\par }\pard \ltrpar\s21\ql \li0\ri0\widctlpar\tqr\tlul\tx9000\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \i\f1\fs22\ulnone\insrsid2503505 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \i\f1\fs22\ulnone\insrsid2883745\charrsid861220 Current}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ulnone\insrsid2883745\charrsid861220  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\ulnone\insrsid218758\charrsid861220 Position Title:  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b0\f1\fs22\ulnone\insrsid218758\charrsid2503505 \tab 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b0\f1\fs22\ulnone\insrsid2883745\charrsid2503505 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ulnone\insrsid2883745\charrsid861220 Current Position Holder (if applicable}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ulnone\insrsid3689243\charrsid861220 )}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\ulnone\insrsid2503505 :  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b0\f1\fs22\ulnone\insrsid2503505\charrsid2503505 ________________________________________}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ulnone\insrsid2503505   }{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\ulnone\insrsid2883745\charrsid861220 
\par }\pard \ltrpar\s21\ql \li0\ri0\widctlpar\tqr\tlul\tx7920\tqr\tlul\tx8910\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\ulnone\insrsid218758\charrsid861220 
\par }\pard \ltrpar\s21\ql \li0\ri0\widctlpar\tx1440\tqr\tlul\tx4320\tx4680\tqr\tlul\tx9000\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ulnone\insrsid218758\charrsid861220 Department Name}{\rtlch\fcs1 \af1\afs22 
\ltrch\fcs0 \f1\fs22\ulnone\insrsid3689243\charrsid861220 :}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\ulnone\insrsid3689243\charrsid861220  _}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\ulnone\insrsid218758\charrsid861220 
____________________________}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\ulnone\insrsid3689243  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ulnone\insrsid3689243\charrsid861220 Unit: }{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 
\b0\f1\fs22\ulnone\insrsid3689243\charrsid861220  }{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\ulnone\insrsid218758\charrsid861220  \tab \tab 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\tqr\tlul\tx7920\tqr\tlul\tx8910\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs22 
\ltrch\fcs0 \f1\fs22\insrsid218758\charrsid861220 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tqr\tlul\tx7920\tqr\tlul\tx8910\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid2883745 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2883745\charrsid861220 Current }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\b\f1\fs22\insrsid2503505 Base }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2883745\charrsid861220 Salary }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2503505 and }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\b\f1\fs22\insrsid2883745\charrsid861220 Grade}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2883745\charrsid861220  ______}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2503505 _________________________________________}{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2772471   }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid218758 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid861220 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2772471 Requested}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid861220\charrsid861220  Action:
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\keepn\widctlpar\tx6300\tqr\tlul\tx8910\wrapdefault\faauto\outlinelevel3\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af1\afs20\alang1025 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\fs22\insrsid218758\charrsid861220 \tab                                            
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\keepn\widctlpar\tqr\tlhyph\tx9000\wrapdefault\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af1\afs22\alang1025 \ltrch\fcs0 \b\f1\fs22\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\ai\af1\afs20 \ltrch\fcs0 \i\fs20\insrsid3213914                                                                                                          }{\rtlch\fcs1 \ai\af1\afs18 \ltrch\fcs0 \fs18\insrsid3213914\charrsid3213914 
Attach appropriate documents}{\rtlch\fcs1 \ai\af1\afs18 \ltrch\fcs0 \fs18\insrsid2772471\charrsid3213914 
\par }{\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\fs20\insrsid218758 \tab 
\par }\pard \ltrpar\s1\qc \li0\ri0\keepn\widctlpar\tqr\tlul\tx8910\wrapdefault\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\fs20\ul\insrsid218758 
\par FOR HUMAN RESOURCES DEPARTMENT USE ONLY
\par }\pard\plain \ltrpar\qc \li0\ri0\widctlpar\tqr\tlul\tx8910\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\f1\fs18\insrsid218758 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tqr\tlul\tx8910\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \fs18\insrsid218758  }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid218758 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\keepn\widctlpar\tqr\tlul\tx9000\wrapdefault\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af1\afs22\alang1025 \ltrch\fcs0 \b\f1\fs22\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af1 \ltrch\fcs0 \insrsid2883745\charrsid2772471 Date Received }{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid861220\charrsid2772471 __________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid3689243     Received by ______________________________________}{\rtlch\fcs1 
\ab0\af1 \ltrch\fcs0 \b0\insrsid218758\charrsid2772471 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\tqr\tlul\tx8910\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid218758\charrsid2772471 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\keepn\widctlpar\tqr\tlul\tx9000\wrapdefault\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af1\afs22\alang1025 \ltrch\fcs0 \b\f1\fs22\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af1 \ltrch\fcs0 \i\insrsid2883745\charrsid3689243 Projected}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid2883745\charrsid2772471  completion Date ______}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid861220\charrsid2772471 ____}{\rtlch\fcs1 \ab0\af1 \ltrch\fcs0 
\b0\insrsid218758\charrsid2772471    
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\tqr\tlul\tx8910\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\f1\fs18\insrsid218758 
\par }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid861220 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2772471\charrsid2772471 Evaluation Results}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3689243 /Recommendation}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2772471\charrsid2772471 :
}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid861220 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2772471 
\par Title}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3689243 :  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2772471 
\par 
\par FLSA Classification}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3689243 :  __________}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2772471 
\par 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3689243 Salary Grade:  ________________}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid2772471 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3689243 
\par New Base Salary:  ____________
\par 
\par Effective Date:  ______________
\par 
\par 
\par Notes:  
\par 
\par 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3213914 
\par 
\par 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3689243 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3213914 Reviewed by _______}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3689243                                                        }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\b\f1\fs22\insrsid3213914  HR Director Approval _______}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3689243 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3689243\charrsid2772471 
\par }{\*\themedata 504b030414000600080000002100e9de0fbfff0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb4ec3301045f748fc83e52d4a
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