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<br />6. Present Class Pay Grade <br />7. REQUESTED ACTION <br />New Position-Initial Allocation ( ) Changes in Duties and Responsibilities-Reallocation ( ) Redescription-Review () Effective Date 10/1 /2008 <br />Requested Class Allocation Clerk III Pay Grade SR 10 <br />8. CERTIFICATION OF EMPLOYEE The duties & responsibilities described-above are accurate and complete. <br />Employee's Name (Print) vacant <br />Employee's Signature Date <br />9. STATEMENT OF IMMEDIATE SUPERVISOR <br />a. Describe the nature and extent of supervision which you exercise over this position. <br />General <br />b. Indicate the qualifications absolutely necessary to perform the duties of the position. Keep in mind the position itself and the <br />ualifications a new em to ee must brin to the osition rather than the ualifications of the em to ee who now occu ies it. <br />Education -General Basic Qualifications Necessary for Work Performance <br />Circle hi hest ear (Elementary and High School) 1 2 3 4 5 6 7 8 9 10 11 12 <br />S ecial or Professional: Colle a 1 2 3 4 1 2 3 4 Kind: <br />Work Experience -Kind See Attached <br />and length in years: <br />Knowledge, Skills and <br />abilities: See Attached <br />Physical Requirements: See attached - <br />Licenses or certificates required: ' <br />See attached <br />" that the above statements are accurate and complete. <br />10. CERTIFICATION OF IMMEDIATE SUPERVI R I ce <br />~j <br />~ Date ~~ 3 ~~ <br />i <br />' <br />Si <br />t <br />~ <br />ure <br />Immediate Superv <br />sor <br />s <br />gna <br />/~ <br />11. CERTIFICATION OF DIVISION HE I certify that the above statements are accurate and complete. <br />..... <br />~ Date ~°( 3/ ~ <br />Si <br />t <br />Di <br />i <br />i <br />H <br />d' <br />ure , <br />gna <br />v <br />s <br />on <br />ea <br />s <br />12. CERTIFICATION OF DEPARTM T HEAD I certify that the above statements are accurate and complete to <br />the best of my knowledge ~(f1~ pp <br />~ ~~ - 6 Lu~9 <br />Department Head's Signature Date <br />Distribution: Original -Human Resources, ,1st Copy - Departure , 2nd Copy -Employee <br />