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APPLICANTS |
only matt sees this, this is where references will go
WHICH PA TABLE:DOUBLE
| Statement of recruitment efforts |
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| Statement supporting the selection of candidates & justification for hiring at an advanced increment |
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| Information about the applicant pool and the ranking of applicants |
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The identified employee is eligible for the salary supplement(s) indicated below. The employee
understands:
- The supplement does not change the employee’s base pay;
- The supplement is temporary and will only be effective during the period the employee
meets all appropriate terms and conditions;
- The supplement will not be included in the computation of salary increases, promotion,
demotion, transfer, or reappointment;
- The supplement will not be included in the calculation of retirement benefits nor in the
calculation of terminal leave pay;
<li></li>- The supplement will be included in the calculation of any Fair Labor Standards Act
overtime pay for which the employee may be eligible.
The supplement will be effective the first of the pay period following receipt in the Office of
Human Resources unless the effective date indicated below is later.
Refer to DJJ Policy 3.23 regarding filling a complaint and for a list of grievable issues. |
As Per Governor Kemp's Executive Order 01.14.19.02, each executive branch agency shall promptly review all complaints of sexual harassment and/or retaliation and immediately report any complaint made directly to the Office of the State Inspector General utilizing the form below.
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Complainant Information (individual who allegedly experienced sexual harassment or retaliation)
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| Prefix |
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| First Name |
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| Last Name |
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| Phone Number |
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| Email Address |
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| Job Title |
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| Facility |
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| Facility Work Address |
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| Respondent Information (individual whom the complaint is about) |
| Prefix |
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| First Name |
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| LastName |
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| Phone Number |
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| Job Title |
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Relationship to Complainant
If you need to select multiple options, please select "OTHER" and describe in the box below
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| Complaint Information |
| Date of occurrence |
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| Have you discussed this issue with your supervisor? |
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List specific problem(s)/issue(s)
(Descibe what happened, when and where, how your employment has been unfavorably affected, and indicate names of others involved. Attach any supporting documentation) | |
| Has any conduct been reported to a law enforcement agency? |
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Are there concerns that the agency cannot fairly or impartially investigate the complaint?
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| Medical Leave Info : |
| Is this employee on any type of medical leave? |
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| Please explain below Comment required |
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