Salary Advancement Request |
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Program: |
PA(s): |
Date Requested: |
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Name: |
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FROM...
Title: |
TO: Title: |
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Salary: |
$________ |
Salary: |
$________ |
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Grade: |
________ |
Grade: |
________ |
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Step: |
________ |
Step: |
________ |
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Recommended By (Signature): | ||||||
Executive Director (Signture): |
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Effective Date: |
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Type: _____ Annual _____ IND _____ Merit _____ Other
Explanation: _____________________________________________________
________________________________________________________________ |
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________ Approved |
Non-approved |
Pending |
____________________________________ Other |
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