ORDER NO. 19627 CONFIRMATION OF HIRING MAR.LENE JEAN SHERMAN IN THE COUNTY CLERK'S OFFICE On this the 9t.h day of July 1990, upon motion made by Commissioner Holekamp, seconded by Commissioner Morgan, the Court unanimously approved that the hiring of Marlene ~?ean Sherman in the County Clerk' s Of. f ire be rat.if ied and confirmed, effective as of July 2, 1990, at Pay Group 10, Step 1, 512,109.00 annually, 51,009.08 monthly, and $504.54 semi-monthly. DATE: June 21, 1990 TO: COMMISSIONERS' COURT FROM: PATRICIA DYE, COUNTY CLERK Person Requesting Budgetary Approval CLERICAL-LAND DEPARTN~I'r Section/Division ~Y SUBJECT: ®New Hire O Lateral Transfer EFFECTIVE: _July 2;19_90 _ Date ~ Promotion D Merit O Demotion ~ Other I wish to employ ~~ JEAN s~RMAN Person AS a Deputy County Clerk Title of Position salary of $12,109 annually at lo~l at a Grade/Step In accordance to Order No. 18631 approved April 27, 1989, the following documents are submitted for your approval: • The actual application for employment along with any letters of recommendations; • The written physical report signed by the doctor,(CK-05) with completed evaluation form signed by department head, and; • The Workman's Compensation Inquiry report (verbal to Department Head and followed up by written request.) CK-01 _ ~ D Y ~ ` c~nr n( V'°a ~-.~. Application For Employment Follow instructions exactly. Fill out the application form completely. If items are not applicable, enter "NA". Do not leave items blank. Resumes are accepted for any additional information they contain but not in place of a completed application. Be sure to sign the application after completion. PERSnNAi_ i)ATA_Print noatly nr tV.,.+• Name(Last. First, Middle) j7 -,r ~,~ j; j,TT; '~ ~T Social Security Number Current Address (PO.Bx, St, Apt . City, State, Zig) Home Phone (area code & number) _ ~ Permanent Address-if different (PO.Bx, St, Apt .City. State, Zip) Work/Day Phone (area code & number) T Type of Position Desired Date Available Minimum Acceptable Salary Work Status Desired Have you ever been discharged ull Time ^ Part-Time ^Seasonal by an employer? ^ Yes ®No If es ex lain: if position you are applying for requires the operation of a motor vehicle. do you have a current Texas Driver's License? Yes ^ No License Number: 1 1 O erator ^Commercial ^Chauffeur Do you have relatives working for Kerr County? If yes, give names, relationships. and department ^ Yes ©NO employed r EDUCATIONAL RECORD ~' h .~ C h o 1 HIGHEST GRADE COMPLETED ^1^2^3^4^5^6^7^S^9^10^11 12 Did you graduate from high school/GED? ~] Yes ^ NO If a degree or vocational or college credits are required to meet minimum qualifications for a position you are seekin a transcri t is re wired: Name of School Location ~ Mo. Yr. Mo. Yr. Earned Yes N De ree/Certificate of Stud Busi/Tech/Voc Schools i,.TA College-University I'; ~~ Sem. Hrs Graduated? Graduate Schools T,T Sem. Hrs. Graduated? CK-02 An Equal Opportunity/Affirmative Action Employer EMf'LbYMEN't' RECORD CnNTiNiIF.D n.,..,. z ..r ~ Job Title From (mo/day/yr) Through (mo/day/yr) Final Salary ~iolunteer r~ll_ of nrev' s s ~ r Name of Organization Address (PO.Bx, St, Apt ,City. State, Zip) Phone (area code & number) 1`111 Full- Part -Time If art-time. a roximate number of howl er week: Name of Supervisor Title of Supervisor r~ Number and job types of employees supervised by you, if any (e.g. 3 managers, 2 technicians, 2 clerks): T,,T Reason for Leaving T~i A Describe the duties of our osition in order of im ortance: ~~ A Job Title From (mo/day/yr) Through (mo/day/yr) Final Salary $ er Name of Organization Address (PO.Bx, St. Apt ,City. State, Zip) Phone (area code & number) ,T , Full- Part -Time If art-time. a roximate number of hours er week: ' Name of Supervisor Title of Supervisor T:~A Number and job types of employees supervised by you. if any (e.g. 3 managers, 2 technicians, 2 clerks): .r Reason for Leaving i,T q Describe the duties of our osition in order of im ortance: NA PERSONAL DATA: Do you have any existing physical or medical conditions or disabilities that would interfere with your ability to perform the job for which you have applied for? ^ Yes ~ No If yes, please explain: _________.~+A~_________ ----------------------------------------- ----------------------------------------------------------------------------------- Have you ever filed a Workers' Compensation claim? ^ Yes ®No If yes. please explain: ~--------- ~--------------------------------------------------- ----------------------------------------------------------------------------------- Have you ever been convicted of a crime? ^ Yes ~ No If yes, please explain: ~~~~_~_~~_~___~~~~~__ ----------------------------------------------------------------------------------- COUNTY OF KERR APPLICATION SUPPLEMENT Please provide the following information, which will be used for internal tracking, statistical purposes and reporting to government regulatory agencies only. This page will be separated from your application, and will in no way be used in consideration of your application for employment. Kerr County is an Equal Opportunity Employer, and does not discriminate because of sex, age, race, color, disability, national origin, religion or sexual orientation. Social Security Number: 330-36->508 Name (Last, First, MI): ~ s~s~?Ri~Tnt,i r.~.nt~~r,~~,r .T ~,~T~T Address (Street Address) ~ ~ <21 -~~'~ rS.~.~__M~_____M___ City, State, Zip ~~__-~e„~.~u~~.le.r T~~__=~}',n~s~ _____ Home Phone { 512 ) ~~3h-1752 Alternate Phone ( 1,A ) paid Are you a U.S. Citizen? ~,~ ~_M Please Check One: A. White Male F. Hispanic Female B. White Female C American Indian/Aleutian Male C. Black Male H. American Indian/Aleutian Female D. Black Female I. Asian/Filipino/Male E. Hispanic Male J. Asian/Filipino/Female Disabled: Yes X No (Please indicate the nature of your primary disability) A. Hearing Impaired D. Speech Impaired B. Mobility Impaired E. Other (Specify) C. Vision Impaired Are you currently, or have you previously been employed by the County? Yes _,{,_ No If yes, when? i~11~ What led you to apply with the County (Check One} 1. ~~ Stopped in to check on available jobs 2. Referred by a County Employee 3. Referred by an employment agency 4. Responding to an advertised vacancy 5. Referred by T.E.C. fi. Other (Please List) Please indicate below the title of each position for which you are submitting an application today: Job Title 1, t,y?~in~ 4• ~nTth~n~ +h~t I ~~n ~d~7at 2. filing 5, my skills to and continue Department r~~n 3. 6. mPar~-i nrrfiil .~ e ~~3 ~ 9 ?~$3 cTl-L CK-03 FILE SEPARATELY FROM APPLICATION P~?arlene J Sherman 1621 first Street Kerrville, Texas 78028 June 1,1990 I am a 54 ,year old taoman desiring to reenter the work force. My last employment was in July of 1981, at which time I resigned to care for a grandchild born with Downs Syndrom. The last nine years have been totally devoted to the care and education of this child. I am a self starter, motivated vaorker, and would like to obtain employment that will enable me to use the skills that I have maintained as well as to benefit my employer. I mill be available for employment after July 15,1990. Please see the attached resume and contact me if you should require any further information, Thank you in advance for your consideration. Sincerely, Marlene J Sherman PERSONAL DATA SHEET OF MARLEAIE J SHERMATd Personal Information: Abe: Height and ~FJeight: Marital Status: Address: Telephone: Education: 54 (DOB 4/13/36) 5~ ~." 105 Pounds Divorce Pending 1621 First Street Kerrville, Texas ?8028 896-1752 High Schvol ti'Jork Experience: Consumer loan clerk, August 21,1972 to July 31,1981, Hill Country Savings and Loan. Duties: typing, filing, loan applications, credit reports, set up loan contracts, closed loans, disbursed checks, set up permanent loan file, file maintenanced loan information on computer, serviced loans, worked delinquent accounts, handled small switchboard system, filled in as receptionist, set up savings accounts, did some work on mortgage loan files, and tivorked in the safety deposit box department. References furnished upon request. KERR COUNTY MEDICAL REPORT (APPLICANTS COPY) 1. C-~ r~~~,< ~ ~~ ~-rr-_ ~o-r-T a licensed physician. hereby certify that t have on this date. medically examined m A-rz-I r~ ~~ 5~-~-f~.r ~ ~M and find him/her to be in sound .physical condition and free from any physical defects that could prevent or adversely affect the performance of his/her duties as C„~'~r k (~_ t~,~~ Date G%t/ ' C~ Sign re of Physician /`7 -~ Physician's License Number PLEASE GIVE THIS PORTION TO APPLICANT TO BE RETURNED TO KERB COUNTY DEPARTMENT HEAD. CK-05 ~~1,~~ l ~ ~`~ ~- ~, ~ TEXAS WORKERS' COMPENSATION COMMISSION 200 EAST RIVERSIDE, AUSTIN, TEXAS 78704-1287 a~~-o~-~sioo WAIVER OF CONFIDENTIALITY l understand all irrforrrlation in my worker's compensation claim fate(s) k confidential under the Texas Workers' Comppeensatkm Act. However. I hereby waive any such right of txx>fidentiallry and authorize the Information outtlned below from my retards to be released to the unnddersigned employer for a period not to eoccsed fourteen days from the date of appik~ttlon for employment. aEC'TION 2~7. INFORMATION AVAttJ18l.E TO PROSPECTIVE EMPLOYERS. (a) tMrn a pnaon appbs for emptoymerx, tfw O~P~ M~PbY'w who has woAo~rs' oompwratlon Mtitxanoe oovMap. M ~Itla.O, on oompar~oe wan tltb ot1~IK, b obtain tilonnavlon en tM aypacant's pAor aytaNS. (D) TM «nploya~ moat matte ate equal ~Y Ntepnone or tw the t~ptteet n wtanp not more than I. deyi agar U» oala on whkn tha appYCaton ax aenploynwra Is maoe. (c) Tha teq~a,at muN 1n~M~0a a+. appaeant's twhe, aoorass, ttno tocW eecuray nunoer. (~ TM employer mtal Doran wtlaetl a~sttottMnon Iron ae appaant oatote matdnp the npu.st. l.) r ate n>~ is maa n wrttlrg. ttta atsnortzatlort snail ee Iwo alrra~aarwotwy. r ~ ~ is tnaoe over the NNphorw. ~ empbyer Ytell tae ttw auawotratlob not rater slnl rIe /ph Day spar ttte fire on rNwoh aw requtat n mace. THis FORM MUST ~ FILLED Q~T COMPLETELY 4~ND_ NOTARIZED =Q COMPLY 1MJ~F ~ ~IW June 6, 1990 telephone TES ~~ Date- f equsst, ~ (Nast Carole Clne) fiRnature t. Co. Clerk, Patricia Dve Retiuester~s full Matae and Title t.ili74i-t 6i0i0ili4i9i4i federal Tax 1.D. Manber 3. Patricia Dve Eaployer~s full Nagle ~. 700 Main Street Street Atldreas Kerrville, TX 78028-5389 City (tats tip s. ~~~ 90 ate o Appkicati fipna re Pr nt or Type Appl cant's fu Maale~ ~. ~ ~ • G1~LLC • 3 :octal security Muaber a. %~ ~ / ~i/~S i street Address ...-_ ~ri (`1 s4*i ~Cy . ^~ `'~Catf r~ J:9 t } 7•~ Z,~ }aa U~~~b~r„~ NA(Da,~ flA ~ THE a~ IF REQUESTED BY PHONE THIS FORM MUST 8E RECEIVED aIVITHIN COMMISSION'S AUSTIN OFFICE. STATE OF TDU1S COUNTY OF KERR SWOP. N AND SUBSCRIBED TO BEFORE ME THIS Signature o~Ni~ PATRICIA DYE My Commission taxpiro:: 12 - 31-19 9 0 ~ ,..- ;~. ~ . i `~ ~~; 1 5th DAY OF June ~~t,;~ei~'9"~~~~3~. Printed Name~Ni#iif~iJ611~ PATRICIA DYE. CO. CLERK IN AND ~gMn FOR KERR COUNTY, TX 1Ft2 (tiiv. ~ • PLEASE FURNISH ONE ORIGINAL AND SEV N COPT S OF THIS REQUESTAND D UMFNTS TO BE REVIEWED BY THE COURT. MADE BY: PATRICIA DYE, OFF ICE: COi7iVTY CI~K MEETING DATE: July 9,1990 or earlier TIME PREFERRED: SUBJECT: (PLEASE BE SPECIFIC): HTR_TI~ OF MART.FTTF..TF'AN G~,~~MANEFF~r?vF,~_ July 2, 1990. ESTIMATED LENGTH OF PRESENTATION: 3 minutes IF PERSONNEL MATTER -NAME OF EMPLOYEE: Marlene Jean Sherman NAME OF PERSON ADDRESSING THE COURT: Patricia Dye, County Clerk Time for submitting this request for Court to assure that the matter is posted in accordance with Artlcie 6252-1 7 Is as fol lows: • Meetings held on second Monday: 12:00 P. M. previous Wednesday ' • Meetings held on Thursdays: 5:00 P. M. previous Thursday. IF preferable, Agenda Requests may be made on office stationery with the above Information attached. THIS REQUEST RECEIVED 8Y: THIS REQUEST RECEIVED ON: o ~ 9D @ O ~ All Agenda Requests w111 be screened by the County Judge's Office to determine If adequate information has been prepared For the Court's formal constderatton and action at (Ime of Court meetings. Your cooperation will be appreciated and contribute towards your request being addressed at the earliest opportunity. ORDER NO. 19627 CONFIRMATION OF HIRING MART~IE JEAN SEIERNIAN IN THE COUNTY CLERK'S OFFICE July 9, 1990 Vol. R, pg. 894