Request for Reassignment - 2007
District employees who wish to be considered for reassignment within their present building should complete this form and file the original with the Human Resources Department within 5 days of posting. A completed form must be filed for each position.
Name Date ________________________________________________________ Date __________________
Home Address ______________________________________________________ Phone _________________
Summer Address (if different) ___________________________________________ Phone _________________
Present Building _____________________________________________________________________________
Present Position _____________________________________________________________________________
Present Supervisor ___________________________________________________________________________
Present Assignment (grade level, subject area, etc.) ___________________________________________________
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Assignment
Change Requested _________________________________________________________________
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Reasons for Requesting Change _________________________________________________________________
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Have you discussed this with your immediate supervisor? YES NO
Supervisor Recommendation (optional) ___________________________________________________________
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Signature of Supervisor Date