Nonce error test fluent

Assignment and Information Card

ASSIGNMENT & INFORMATION CARD

Year

Status

CURRENT MPS EMPLOYEE (NOT REC)

MINOR (Must have WORK PERMIT attached)

CURRENT REC STATUS:

NEW

ADD

RHR

ACT

SEASON

SPRING

SUMMER

FALL

WINTER

PERSONAL DATA

First Name

Middle Name

Last Name

MPS ID Number

Date of Birth

CHECK HERE IF THIS IS A NEW ADDRESS

Address

Address Line 1

Address Line 2

City

State

Zip Code

Sex

Male

Female

Marital Status

Divorced

Married

Single

Ethnic Code

American Indian

African American

Asian

Hispanic

White

Other

Emergency Contact

First Name

Last Name

Relationship

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone/Mobile

Phone (Other)

ASSIGNMENT

This portion will be filled out by MPS Admins.

LOCATION / SITE #

JOB TITLE

ASSIGNMENT START DATE

ASSIGNMENT END DATE

HOURLY RATE

RL POSITION

DAY/S ASSIGNED

HOUR/S ASSIGNED

Rate Deviation Approved

Admin Use Only

Initial

Updated

BUDGET CODE

LOCATION / SITE #

JOB TITLE

ASSIGNMENT START DATE

ASSIGNMENT END DATE

HOURLY RATE

RL POSITION

DAY/S ASSIGNED

HOUR/S ASSIGNED

Rate Deviation Approved

Admin Use Only

Initial

Updated

BUDGET CODE

LOCATION / SITE #

JOB TITLE

ASSIGNMENT START DATE

ASSIGNMENT END DATE

HOURLY RATE

RL POSITION

DAY/S ASSIGNED

HOUR/S ASSIGNED

Rate Deviation Approved

Admin Use Only

Initial

Updated

BUDGET CODE

LOCATION / SITE #

JOB TITLE

ASSIGNMENT START DATE

ASSIGNMENT END DATE

HOURLY RATE

RL POSITION

DAY/S ASSIGNED

HOUR/S ASSIGNED

Rate Deviation Approved

Admin Use Only

Initial

Updated

BUDGET CODE

Once you have completed all the required information in this form, click 'Submit Completed Form' below. If you need more time, you can choose 'Save and Resume Later".

form.fluent_form_97 .wpf_has_custom_css.ff-btn-save-progress { background-color:rgba(248, 208, 59, 1);border-color:rgba(248, 208, 59, 1);color:#000000; }form.fluent_form_97 .wpf_has_custom_css.ff-btn-save-progress:hover { background-color:rgba(0, 0, 0, 1);border-color:rgba(255, 255, 255, 1);color:#FFFFFF; }

form.fluent_form_97 .wpf_has_custom_css.ff-btn-submit { background-color:#1a7efb;border-color:#1a7efb;color:#ffffff;min-width:100%; }form.fluent_form_97 .wpf_has_custom_css.ff-btn-submit:hover { background-color:rgba(0, 0, 0, 1);border-color:#1a7efb;color:#FFFFFF;min-width:100%; }