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TOWN OF MASHPEE <br /> Effective:September 1,2016 <br /> JOB TITLE, o c("e;,7 <br /> DEPARTMENT: <br /> 7 <br /> EMPLOYEE: UNION UNIT: <br /> STATUS: Regular Full-time [\/f Temporary Dull-time Temporary Part-time <br /> Standard Part-time Non-Standard Part-time Seasonal <br /> � �� <br /> LABOR GRADE: STEP: RATE OF PAY: a & Per Hour <br /> Per Week r6�7 <br /> Per Yea <br /> I attest that this position was posted and/or advertised through the following: <br /> Existing Eligibility List [ ] Town Posting f Local Employment Opportunity fvf <br /> Regional/State/National Opportunity [ J Other Posting C ] <br /> I also attest that all policies and procedures of the Town have been satisfied regarding this appointment, <br /> including: application review Fi-efWritten examination[ ] oral,interview[%oorappointing authority interview <br /> physical agility exam medical examination W psychological examination F4 comprehensive background <br /> investigation, including a COI check 1\011110r other <br /> I further attest that the search and initial screeningfor this position was based,upon minimum requirements, <br /> knowledge, skills., abilities, essential functions and responsibilities outlined in a job description approved by <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 /> ................... <br /> F 0 <br /> Hu, esources Tctor'Signatu Date <br /> I request this appointment/promo ri to be effective on: <br /> ............... ------ <br /> Appointing Authority Signature Date <br /> This position may be filled upon confirmation and/or certification of this selection process, if a full-time new <br /> of <br /> employee; or compliance with Town policies and procedures, if a promotion. <br /> town Manager Signature Da.te <br /> Chairman of Board of Selectmen (or Designee) Signature Date <br /> Review of Appointment and Certification of Selection Process <br /> 9 <br /> Copies To. White— Human Resources Canary—Town Clerk Pink—Town Manager <br />