E-Separation Form - Judith Bartay

HR Information

EIN: 162887 Pay Group: B

Last Day of Contract: 6/30/2018 Last Day Worked: 4/23/2018 Check Cycle: 7/15 - 7/1 Benefits Term Date: 4/30/2018 Days Worked: 178 State Days Earned: 4.5

Job Class: 37 Local Days Earned: 1.5

Extended Coverage Through 8/31:N/A Vacation Earned: 0 HR Task Notes

Employee Contact Information

Date Submitted: 4/24/2018 12:21:44 PM Rehire Information: Eligible for Rehire for any position Employee Type: Paraprofessional Last Day Worked: 4/23/2018 Last: Bartay First: Judith MI: L EIN: 162887

Mailing Address: 30214 GLENBORO DR Apartment:

City: SPRING State: TX Zip: 77386-1717

Email: ac6pz5@r.postjobfree.com Alternate Email: ac6pz5@r.postjobfree.com Phone: 713-***-**** Alternate Phone: 713-***-****

Campus/Department: Curriculum Dept Position/Assignment: PARA SEC/ADMINISTRATION Teaching Summer School: No Summer School Location: Request Information

Reason for request: Termination Other Reason:

Years of service in education: Years with CISD: 4

Comments:

Print Form

Conroe ISD Human Resources Department E-Separation Form Page 1 of 2 http://cisdnet.conroeisd.net/e-separation/hrformprint.asp?fid=8500 5/2/2018 Menu

Conroe ISD Human Resources Department E-Separation Form Page 2 of 2 http://cisdnet.conroeisd.net/e-separation/hrformprint.asp?fid=8500 5/2/2018