ORDER NO. 2005'l APPROVAL OF THE HIRING OF CARMEN DE LA ROSA AS SENIOR ACCOUNTING CLERK IN THE COUNTY CLERK'S OFFICE On this the 14th day o£ January 1991, upon motion made by Commissioner Holekamp, seconded by Commissioner Oehler, the Court unanimously approved by a vote of 4-0-0 the hiring o£ Carmen De La Rosa as Senior Accounting Clerk in the County Clerk's O££ice, e££ective January 14, 1991 at Pay Group 12, Step 1, Sl'3, 900. 00 annually, 51, 158. 30 monthly, and 5579.15 semi-monthly. DATE: Jan. 3, 1990 TO: COMMISSIONERS' COURT Patricia Dye FROM: _ __ ________ Person Requesting Budgetary Approval Kerr County Clerk Section/Division SUBJECT: EFFECTIVE: ®New Hire ^ Lateral Transfer Jan. 19, 1990 Date ^ Promotion ^ Merit ^ Demotion ^ Other I WISh t0 employ CARMEN DE LA ROSA Person AS a Senior Acct.Clerk Title of Position salary Of $14,604 13/1 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 DATE: Jan. 3, 1990 TO: FROM: SUBJECT: COMMISSIONERS' COURT Patricia Dye Person Requesting Budgetary Approval Section/Division Kerr County Clerk ® New Hire D Lateral Transfer ~ Promotion O Merit ~ Demotion D Other EFFECTIVE: Jan. 14, 1990 I WISh t0 employ CARMEN DE LA ROSA Date Person AS a Senior Acct.Clerk at 13/1 at a Title of Position Grade/Step salary Of $14,604 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 I f r p~0 ,. Application For Employment Follow iaawetiona exactly, Fill out tbs application form completely, u items era not applicable, enter 'NA'. Do cot leave llama blank. Reatrmes era accepted for any additional information Wey contain but not in place of a completed application. Be tors to ergo the applicatioa after completion. fa.aa,cµ.asc, racsa, mraaae~ Deis! Security Number Current Address (PO.Bx, St, Apt . City. State, Zip) Home Phone (area rode & number) 'Permanent Addresa•it different (PO. x, St, Abt .City, State, ZIp) Work/Day phone (area coda & number) Tyyre of Position Desired Data Available Minimum Acceptabls Salary L5'~ ~~. S ~ `~L ~~ ~r Work Sta us Desired eve you ever been discharged ~1Fu11 Time ^ Part-Time [7Seasonai by an employer? D Yes itr7 No if es ex fain: !t position you arc applying for requires the operation of a motor vehicle, do you have a current 'T'exas Driver's r r..-...-n t1>L Vac i"'t Nn r .,.e..s Ar...... L..-. ,1 C7 t P e•) -•~ ~ 1 -~ jDo you have relatives working for Kerr ^ Yes ®.No ial L7Chauffeur If yes, give names, relationships, and ^IClZi73^405i760708090 10^111~112 Did ou raduste from h1 h school/t3ED? ~ Yes ^ NO It a degree or vocat[onal or college credits era requued to meet minimum qualifications for a position you are Schools College-University Sam. Hrs Graduated? Graduate Schools , Sem. Hra. Graduated? CK-02 An Equal Opportunity/Affirmative Action Employer EiHI'LUYhIEN"r RECORD CONTINUED t'a •~ Z of ~. List any special course work (include the number of hours completed), training, or experience that qualifiea for the classification(s) for which you are applying. Also list memberships in relevant professional or anizations. ~ ~yene,-<<.i ~ 8 '~1XP~r+eti:.e i `DFi=ic~ F;:~v,c'~nmar.~~ lyir~nc,;'I~.ec..,,,~,s I~ti::,r.y.,-..r,. ~''wlal~c ~t-l iz1i0 n., . List current licenses/certificates/registralfops_ (indicate types and datea received) List apeeial° akiils and machines or offiea equipment you tan use (adding machines, dictation equipment, p/rti"n~~t~i~ng/graphIe equipment. data proceasing etc) Tlr:,,~ t~tcl..rt [ Foreign Languages (LisQ: ~ Speak ~ J _ Read f ___. _ Write Fair ~ Cood 0 Exceilwt ~ ~ Fair 0 Good ~xeeilent ~ 0 Fs(r 0 C,ood ^ Exeelteat of Service _ Are You in the Active Rescrvet EMPLOYMENT RECORD; This Information will ba iha official record of your employment history and must accurately reflect all significant duties performed. Yon must provide all the information requested in order fo your qualifications to ba evaluated properly. Add additional sheets as needed. to Title \\ tt 1~ From (mo/day/yr) Through (mo/day/yr) Final Salary f; ~ ~Q' ~ ~ CU~:.,,`1 CICrI. ~. t IG15S~1 I (- ill ~ YCI~IC S .5 SL r.i, per/x.'ceY~l~Y Name o, Or[ nizati o Addre~s ~P0.8x, St, Apt .City, State,.Zip~) _ Phone (area code & number) 9,- 1 /'>.. --, Jn u- .%70a te, G-; G'n a_ ia/7 ruu- 4n raI[ antic a ma-wu.c Name of Supervisor ~ - Title of Supervispr Number and job types of a ployeea tup rvlted by you, it any (e.g. 3 managers, 2 technleians, 2 clerks): r~~~ f, Reason for Leaving ~~ n . ~ „ ,.~ ~}i., K ~ ,r,-. ,' i I .. r~r~~r„-.~I i:hchk brt,:~.,r~s L r J J f 11C ~~ d- i~f.!(yvf <~e`GI .~rtSTfiA i..e .-,t{ Fite~R ~ f~Fc:r:Vrf,j 1_-r,';h,'r.ul~ ~-f1`.tc of Or zation ull- Part - Tirt Of $Upetvisor~ ;r and Job types of From (mo/day/yr) ~r ~5, L..I~.rLr , ~, ~ , i \ Addr s (PO.Bx, St, Apt , ~ .~/ `,, Title of Supervisor supervised 6y you, IP any (e.g. 3 managers. 2 Fine! Salary Phone (area code & number) rT S.SiS~~,Q L~„i~v n~rr in IuC4}r,.s in ~ac Ct~ ect,~~J, ,~ ~r~ ~i~ ~~~/ ~ll e U„ bar fs , 2 clerks): n Fer }~eirf Qer s:~v~,. ~ ~]- .Sc /.. ~ ~,Nr i is di, Job Titla From (mo/day/yr) Through (mo/day/yr) Final Salary S r Nama of Orgmization Address (PO.Bx, S4 Apt .City. State, Zip) Phona (area code & number) Fuli- Part -Time U art•time a roximate number of hours er week: Nama of Supervisor Title of Supervisor Numbu and job types of employees supervised by you, If any (e.g. 3 managers, 2 technicians, 2 clerks): Reason !or Leaving I 'PERSONAL DATA: Do you have say existing physical or medical conditions of disabilities that would Interfere with o ability to perform the Job for which you have applied for? Q Yes ~No !f yea. please explain: _ ..,_~-___~-„__~-,-----_-_,-_____-____,~-~_ Have you ever filed a Workers' Compensation cisimT ^Ycs ~o If yes. Dlease explain: --r~--------------°---------°------------,- Have you eva been convicted of a crtme7 it yes, please explain: „~,__~. ^ Yes EAIt'LUI'bIEN1' RECORD CON'llNtfED Pagc 4 of 4 Please List 3 names of Indlvtduals witting to provide character or professional references: Na4~e Address ~ Telephone M ~ Relationship I~~r~ ~~~i,~ ~ „le~^ ~a,x :"s~y (_afi THIS REQUEST RECEIVED ON; - ~ ~ .~,:__ Ail Agenda Requests will be screened by the County Judge's OFflce to determine adequate Information has been prepared for the CourCS formal consideration and action time of Court mee[Ings. Your cooperation will be appreciated and contribute towar your request being addressed at the earliest opportunity. ORDER NO. 20057 APPROVAL OF THE HIRING OF CARME~1 DE LA ROSA AS SENIOR ACCOUNTING CLERK IN THE COUNTY CLERK'S OFFICE January 14, 1991 Vol. S, Pg. 114