From:
Washingtonville
Newburgh
Middletown
Warwick
Port Jervis
Dutchess
Central
Current Campus
To:
Washingtonville
Newburgh
Middletown
Warwick
Port Jervis
Dutchess
Central
New Campus
Date
*
-
Month
-
Day
Year
Date Picker Icon
Requesting Campus
*
WVL
NBG
MTW
WWK
PJ
DCH
CTR
Requesting Lead or Central Pastor:
*
First Name
Last Name
Email:
*
NOTE: This email will received all conformation receipts and communication for the submission.
Employee Name
*
First Name
Last Name
Please check ALL that apply to this change:
Change of Campus
Change of Title
Change in Hours (FT/PT/Temp)
Change of Department
Change of Name (i.e. marriage)
Convert Volunteer Position to Paid Position
Person transferred to a different vacant position
Other
From:
Washingtonville
Newburgh
Middletown
Warwick
Port Jervis
Dutchess
Highland Falls
Central
Current Campus
To:
Washingtonville
Newburgh
Middletown
Warwick
Port Jervis
Dutchess
Highland Falls
Central
New Campus
From:
Current Title
To:
New Title
From:
Current Hours
To:
New Hours
From:
Current Dept.
To:
New Dept.
From:
Current Name.
To:
New Name.
Explain what needs to be corrected (From/To)
If this person is moving to a vacant or new position, be sure to submit a Step 1 form.
Is there an email address we need to change as well?
What is the existing email that needs to be updated.
When does this change become effective?
*
-
Month
-
Day
Year
Date Picker Icon
This date is prior to today's date. Do you have approval to submit retroactively?
YES
Comments?
Please sign
*
Save
CLICK TO SUBMIT
Should be Empty: