ORDER NO. 20055 APPROVAL OF THE HIRING OF PATRICIA JUENKE AS COUNTY COURT AT LAW SECRETARY On this the 14th day of January 1991, upon motion made by Commissioner Holekamp, seconded by Commissioner Lackey, the Court unanimously approved by a vote of 4-0-0 the hiring of Patricia Juenke as Secretary in County Court at Law eEEective January 14, 1991, at Pay Group 12, Step 1, 613,900.00 annually, 51,158.30 monthly and 5579.15 semi-monthly. DATE: Jan. 4, 1990 TO: COMMISSIONERS' COURT FROM: Patricia Dye ___ __ Person Requesting Budgetary Approval Kerr County Clerk _ Section/Division SUBJECT: 0 New Hire ~ Promotion O Merit ~ Lateral Transfer D Demotion ~ Other EFFECTIVE: Jan_ 14, 1991 I wish t0 employ Patricia xay Juenke Date Person AS a County Court at Law at 12/1 at a Title of Position Secretary Grade/Step salary Of $13,900 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 TEXAS WORKERS' COMPENSATION COMMISSION 200 East Riverside, Austin, Texas 78704-1287 (512) 448-7934 - WAIVER OF CONFIDENTIALITY understand all information in my worker's compensation file(s) is confidential under the Texas Worker's Compensation Act. However, I hereby waive any such right of confidentiality and authorize the information outlined below from my records to be released to the undersigned employer for a period not to exceed tourteen days from the date of application for employment. SECTION 2.33. INFORMATION AVAILABLE TO PROSPECTIVE EMPLOYERS. (a) When a person applies for employment, the prospective employer who has workers' compensation insurance coverage is entitled, on compliance with this chapter, to obtain information on the applicant's prior injuries. (b) The employer must make the request by telephone or file the request in writing not more than 14 days after the date on which the application for employment is made. (c) The request must include the applicant's name, address, and social •• security number. (d) The employer must obtain written authorization from the applicant belore making the request. (e) If the request is made in writing, the authorization shall be tiled simultaneously. Ir the request is made over the telephone, the employer shall file the authorization not later than the 10th day after the date on which the request is made. IutS FORK" M1"UST BE FILLED OUT GOh"PLETELY AND NOTARIZED TO COMPLY WITH THE LAW Telephone YES / ~6 b ------------------- 5. Dec_em_b_e_r__2_0_,__1_9_9_0__________ -11L= Date~jRe uest (Must Circle One) Date of Application Signature ~ Signature 1. PATRICIA DYE, KERR COUNTY CLERK g, PATRICIA _K. JUENKE ------------------------------ YP PP -------------------- Requester's Full Name and Tiile Print or T e A licant's Full Name 2. 74-6001494 7.__453_92_3777___ _____________ Federal Tax I.D. Number Social Security Number Patricia D e g, __111_Crescent Dr_____________ 3. ----------- ~----------------- Street Address a~~ Employer's Fuli Name 700 ;Hain Street Kerrville, TX 78.028}_ ,~~~ 4. ---------------------------- -------------- '~ V G 1'~ Street Address City Stat Kerrville, TX 78028-5389 City-----------State ----------Zip - OEC 21 1990 IF REQUESTED BY PHONE THIS FORM MUST BE RECEIVED WI~T~~N~yA1'told~bt~at~IPt~E COMMISSION'S AUSTIN OFFICE. ~ ~ AUSTIN STATE OF TEXAS § COUNTYOFKERR § S/W//,,˘˘y~,O~-~~R,N~ AND SUBSCRIBED TO BEFORE ME THIS 20 day of December tg 90 . _~1h1fl wScGQ% _ PATRICIA DYE ---- --- - ------ ------------ ------------ Signature dt~Tdt3Tu'j< RICIA DYE, Printed Name c~~Pxctt#df!XRtt#~'i2i COUNTY CLERK IN AND FOR KERR COUNTY, TX (Seal) _My Commission Expires: 12-31-90 APPLICANT HA N HAD TWO OR MORE GENEFtAI INJURIES FOR WHICH R-12 (Rev. 4-90) WEEKLY COMPENSATION WAS PAID CK-06 ,~~, " ,. /~~A~. Application For Employment Follow inswctions 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 stue to sign the application after completion. Name(Last, First, Middle) I Social Security Number I i _Tiicniu.- Dnroin.a vm/ 5~,5~-~1-2_3')7'7 Current Address (PO.Bx, St. Apt . City, State, Zip) Home Phone (area code & number) 'Permanent Address-if differeat (PO.Bx, St, Apt ,City, State, Zip) Work/Day Phone (area code & numbcr) ~~f~ T pe of Position Desired Date Available Minimum Acceptable Saiary Wo~Ir Status Desired Have you ever been discharged Full Time ^ Part-Time ^Seasonal by an employer) ^YCS L9'~To 1f es ex lain: if position yo are applying for requires the operation of a motor vehicle, do you have a current Texas Driver's Lice se7 Yes ^ No License Number: O ~ / ~%o O erator ^Commercial ^Chauffeur ,'Do you have~elativea working for Kerr County2 If yes, give names, relationships, and department ^ Yes L~7 !VO emplo ed EDUCATIONAL RECORD ~'~IGHEST GRADE COMPLETED ^1^2^3^4^5^6^7^8^9^10^11 12 Did ou graduate from hi h achooUGED7 YCS ^ 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 aired: Name of School Location i Mo. Yr. Mo. Yr. Eamed Yes N De rce/Certificate of Stud Busi/Tech/Voc Schools , i College-University Sem. Hrs Graduated? Graduate Schools Sem. Hrs. Graduated) :.K-02 An Equal Opportunity/Affirmative Action Employer List any special course work (include the number of hours completed), training, or experience that qualifies ) for the classification(s) for which you are applying. Also list memberships in relevant professional organizations: List current types and dates received) List special= skills and machines or office equipment you can use (adding machines, dictation equipment, printing/graphic equipment, data processing etc) ,2/ Y,eS ,BOOKKcEP/N6 EkPEK/E/L~CE /t7-KEy ADU/Nfr //J AnN/n/E /1Dr is n.,n /J.i -r~.-o ..-,in~.,,n~.~n Languages (List): Falr ~ Coed ^ Excellent ' ^ Fnir ~ 6ood ~xeeltent Fatr~Cood^ EzccUcnt ,.,,,nar ocrv,cc n co or a re or[ of se arauon from the Armetl Forces DD-214 ma be re aired: Branch _ Dates of Service _ Are you in the Active Reserve? _OYMENT RECORD; Thia information will be the official record of your employment history and must ately reflect all significant duties performed. You must provide ail the information requested in order fo, qualifications to be evaluated properly, Add additional sheets as needed. 1o Title Fro (mo/ ay/yr) Through (mo day/yr) Final Salary 6 ~- / % g ~n S /. ~' X5 ~'~' cr /r E Name of Organiutioa Address (PO.Bx, St, Apt ,City, State, Zip) Phone (area code & number) I - 'V ~ ~/ LU E ST - ~ ~ V/LGE TX J,4D~2d' /L 8yl ~i Full- Part -Time If art-time a roximate number of hours er week: Nam of Supervisor Title of Supervisor /mm c ,,.v O~".~A ri ~,ys OFFiec~, Number and job types of employees supervised by you, if any (e.g. 3 managers, 2 technicians, 2 clerks): Reason for Leaving ~r-rrvr+Krv c~r_uT,cr.~n~ie. ruNDS OcBiT~C'.fG-DiT TOTiJ/_S FG~e. ~;EN ~OGFE ~~ TOTA/-S FO,~ ~~/fSH /yJ /7 ~/LyG E/y7E 2'T /~CGC TS• SEP-dE0 iTS it'C--/-/EF S'cu/7C'f/~30f}P_P Of'E,QHTD.~ ~FFE2 E"P ASS /-S TAit'L E TO e USTDivi E.Q, ,8C'L'.C Kam. Ems' i NG /'~`/t',~.'E ~'F_= K/l6.~ /NV~rr pN C~,e'T NEW ˘-pEa'/SEP QHEC'K/.d'6 ˘SNV/~~'^.yS /1c•'nT,1. /NFO. X ,eEY/ELUi.2'C+ iG'EK'T OA)/ FC~,~ /~C'CU,~~yC?y //6oeFo,~/y! OTHE.e- /'ELATE O OUT/~5 /qS AS-S/G ~/~= 0 Job Title From (mo/day/yr) Through (mo/day/~k) Final Salary S cr Name of Organization Address (PO.Bx, St, Apt ,City, State, Zip) Phone (area code & number) Full- Part -Time If art-time a roximate number of hours er week: Name of Supervisor Title of Supervisor f Number and job types of employees supervised by you, if any (e.g. 3 managers, 2 technicians, 2 clerks): Reason for Leaving Job Title NA From (mo/day/yr) Tivough (mo/day/yr) Final Salary S Dcr Name of Orgamizatioa Address (PO.Bx, St, Apt ,City, State, Zipj Phone (area code & number) V CYIP V rar[ - ume u Name of Supervisor Number and job types of employees Reason for Leaving { Title o[ Supervisor by you, if any (e.g. 3 managers, 2 technicians, 2 clerks): 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 forl ^Yes ~No It yes. please explain: _..---------------------~--------------------------------------- Have you ever filed a Workers' Compensation claim? If yes, please explain; ____________________- _- Have you ever been convicted of a crime? If yes, please explain: __-w_______ ---------------------------------- ~ Yes ~No ^ Yes LrJ No EAI1'LOl'ZV1EN1' 12ECORD CONTINUED Page 4 of 4 ' Plcasc list 3 names of individuals willing to provide character or professional references: Name Address Telephone 8 Relationship //9~~__[-~E~ti~ 6c~ Boas ~.A~t~E' SyG-/~7~ ~k ~c.ti~n /17 g~ /E PEIE,es~U ~s~oa L arc ~ ,~y~ -,~~ v~ ~ !-'.~' ,may _ TDNH G,eirnES f~UO EA.e~ A,e2Crr ,~~5~_~LSS~~ ~,,ei~.ti~p Please read the following statements cazefully and indicate your understanding and acceptance by signing your name in the apace indicated. 1. 1 certify that the foregoing statements as well as those on any attachment(s) to this form are to the bcst of my knowledge true and correct and that they era given of my own free will. 2. !understand that any misstatement (a) or omission(s) of material facts w71t constitute grounds for unfavorable eonsIderation or dismissal from employment. 3. I understand that former employers and educational institutions may be contacted for employment and cducational information. 4. I understand that Kert County may contact my current employer for employment information before making a binding otter of employment. 5. J understand that if employed, f will serve an Initial probationary period. 6. I understand that any omissions of material facts or any faire information that I give to obtain past, prescnt, or future county (KERR) bcncfits may result in unfavorable consideration or dismissal from employment. 7. I undecatand that before I can be employed by the County, i must show proof of identity and U.S. citizenship or authorization to work in the U.S. (e.g. driver's license, and tither a social security card or a birW certificate). APPLICATION MUST BE SIGNED:~~(~';(~i,~ .~~~ _ _ ~~'~r`-yG'_ SIGNATURE-APPLICAN~~ DATE KERR COUNTY MEDICAL REPORT APPLICANTS COPY) /~ I, ~~~.~-gcw Grp /~~/~, a licensed physician, hereby certify that have on this date, medically examined Patricia K. Juenke 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 Coun PLEASE GIVE THIS PORTION TO APPLICANT TO BE RETURNED TO KERR COUNTY DEPARTMENT HEAD. ~O ~~~ Physteian's License Number COMMISSIONERS' COURT AGENDA REQUEST • PI FASF FURNISH ONE ORIGINAL AND SEVEN COPIES OF THIS REQUEST AND DOCUMENTS ]SJ DF REVIEWED DY 111E COURT. MAUE BY: Patricia Dye MEETING DATE: Jan. 14, 1991 15 Minutes 2:45 P.M. ~('~~et ~-titer ~e~-n-~ SUBJECT: (PLEASE BE SPECIFIC): xiring of Patricia xay Juenke as Secretary in County Court at Law effective Jan.'14, 1991. ESTIMATED LENGTFt OF PRESENTATION: IF PERSONNEL MATTER -NAME OF EMPLOYEE: NAME OF PERSON ADDRESSING THE COURT OFFICE: Kerr County Clerk TIME PREFERRED: Patricia Kay Juenke Patr~c~a DyP Time for submitting this request for Court to assure that the matter Is posted In accordance with Article 6252-171sas follows: • Meetings held on second Monday: 12:00 P. M. previous Wednesday • Mee[Ings held on Thursdays: 5:0o P. M. previous Thursday. if preferable, Agenda Requests may be made on of f Ice stationery with the above Information attached. _ TIiIS REQUEST RECEIVED BY: THIS REQUEST RECEIVED ON: Ali Agenda Requests w111 be screened by the County Judge's Office to deter mine adequate Information has been prepared for the Court's for mat consideration and ac[IOn time of Court mee[Ings. Your cooperation will be appreciated and contribute [owar your request being addressed at [he earliest opportunity. ORDER NO. 20055 APPROVAL OF THE HIRING OF PATRICLA JUENKE AS COUNTY COURT AT LAW SECRETARY January 14, 1991 Vol. S, Pg. 113