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TOWN OF IV ASH PEE POSITION APPOINTIVIENTtREAREQNIMENTACQUM <br /> Effective:September 1,2016 <br /> JOB TITLE: DEPARTMENT: <br /> `F <br /> m <br /> EMPLOYEE: UNION NIT: <br /> / <br /> STATUS: Regular Full-time Temporary Full-time Temporary Part-time <br /> Standard Part-time Non-Standard Part-time Seasonal [ I <br /> 1< STEP: RATE OF PAY: o, Per Hour <br /> LABOR GRADE, <br /> Per' eek Per Year/Base <br /> 1> UJ.......... <br /> I attest that this position was posted and/or advertised through the following; <br /> Existing Eligibility Lit [ ] Town Posting fvdof Local Employment Opportunity C � <br /> Regional/State/National Opportunity [ ] tither Posting [ ] <br /> I also attest that all policies and procedures of the Town have been satisfied regarding this appointment, <br /> including: application review[Vfwr*ltten examination[ ] oral interview H"Oappointing authority interview Vf <br /> physical agility exam[ ] n edi+cal examination[ ] psychological examination[ ] comprehensive background <br /> investigation, including a CORI check[ ] for other <br /> I further attest that the search and initial screening.for this position was based.upon minimum requirements, <br /> knowledge, shills, 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 /> f A -116 <br /> JF <br /> esa►ur Director rture Cate <br /> i request this appointment/promotion e effe'' give on:h,l <br /> y <br /> tl, Authorit, gntu're Gate <br /> n�" I <br /> y f l u n confer ion a /or certification of this selection process, if a full-timenewma sition be <br /> I or cow Hance with 'o policies and r +dares promotion. <br /> P p p <br /> a <br /> o aae Signature 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— 'own Clerk Piny Town Manager <br />