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TOWN OF MA:SHPEE POSITION APP+t IN.TMENVi EAPPQWTMINT RE 'VEST <br /> Effective:September 1,2016 <br /> JOB I `.Ew DEPARTMENT* ,.... <br /> tw'..yr <br /> EMPLOYEE: UN1ON UNIT. Ltb� <br /> r 14F <br /> STATUS: Regular Full-time � � Temporary Full-time Temporary - <br /> Y�/ p � � pt�ra y Part-time <br /> ttme <br /> Standard Part-time ion-Standard Fart-time Seasonal <br /> LABOR GRADE: w w <br /> ST P w „ RATE+ E PAY. w Per Hou <br /> r <br /> Per Week � .� � Per Year Bae <br /> I attest that this position was posted and/or advertised through the following: <br /> Existing Eligibility List [ ] Town Posting [,� focal Employment Opportunity [Noef <br /> Regional/State/National Opportunity [ Other Posting [ <br /> I also attest that all policies and procedures of the Town have been satisfied regarding this appointment, <br /> including: application review[\A/written examination oral interview JvJ0'*'0a'ppojnt1ng authority interv111. <br /> iew <br /> physical agility exam[ medical examination[%ef psychological examination i��Comprehens-ive background <br /> investigation, including a CORI check[ or other, <br /> I further attest that the search and initial screenin _for this position was based upon minimum u R p p rn m requirements, <br /> knowledge, skills, abilities, essential functions and responsibilities outlined in a job description approved b► <br /> p'p' Y <br /> the Town Manager. (Attach job description) I further attest that the employee's driver's license status if <br /> applicable to the position,was verified. <br /> a 1 ��, <br /> Hv Resourcector Signa bate <br /> I request this appointment/promotion to be effective on. w <br /> Appointing Authority Signature Dane <br /> This position may be filled upon confirmation and/or certification of this selection process, if full-time new <br /> employee; or compliance with Town policies and procedures, if a promotion. <br /> Town Manager Date <br /> Chairman of Board of Selectmen (or Designee) Signature Date <br /> Review of Appointment and Certification of Selection Process <br /> Copies To: White— Human Resources Canary—Town Clerk Pink—Town Manager <br />