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Signature of Employee OFFICE USE ONLY Date Entered By Transfer/Demotion Form 6/8/05 Huntington Beach Union High School District 5832 Bolsa Avenue - Huntington Beach CA 92649 CLASSIFIED TRANSFER APPLICATION NAME Last First Middle ADDRESS Number and Street State/Zip Home Telephone Message Telephone E-mail address JOB EXPERIENCE Resumes will not be accepted in lieu of information requested. Please account for all time in the last ten years both employed and unemployed. You may use a separate piece of paper if necessary. HUNTINGTON BEACH UNION HIGH SCHOOL DISTRICT Human Resources Department Request For Transfer Instructions Please fill out both forms completely and send it to the Classified HR Department or save this document in Word and email the document as an attachment to classified hbuhsd. org. Thank you. Name Home Phone Email Address Street City Zip Code Present Classification Classification Hire Date Present Location Supervisor Please complete the appropriate section s I am a permanent employee having completed a six-month probationary period and wish to be considered for TRANSFER Personnel Commission Rule 4250. 3. B. 1 Preferred location months etc* LATERAL TRANSFER To a related job classification on the same salary range RESTORATION TO FORMER CLASS OF VOLUNTARY INCREASE/DECREASE IN ASSIGNED TIME From To NOTE All requests for transfer will automatically be voided on 6/30 in accordance with the contract with the CSEA and District. Upon notice of vacancy and in the absence of a reemployment list eligible unit members on the transfer list shall be considered along with other eligible candidates open promotional reinstatement and included in interviews. From Mos. Yr. Organization Name Job Title or Most Recent Position Mos. Yr. Salary Per Mo. Name of Supervisor/Title Telephone Number Street Address Tasks Performed Reason for Leaving Yes No May we contact your present employer for a reference EDUCATION Name of School College or Workshop Name of Class or Program School Address of Yrs* Attended Degree or Certificate. HUNTINGTON BEACH UNION HIGH SCHOOL DISTRICT Human Resources Department Request For Transfer Instructions Please fill out both forms completely and send it to the Classified HR Department or save this document in Word and email the document as an attachment to classified hbuhsd. org. Thank you. Name Home Phone Email Address Street City Zip Code Present Classification Classification Hire Date Present Location Supervisor Please complete the appropriate section s I am a permanent employee having completed a six-month probationary period and wish to be considered for TRANSFER Personnel Commission Rule 4250. org. Thank you. Name Home Phone Email Address Street City Zip Code Present Classification Classification Hire Date Present Location Supervisor Please complete the appropriate section s I am a permanent employee having completed a six-month probationary period and wish to be considered for TRANSFER Personnel Commission Rule 4250. 3. B. 1 Preferred location months etc* LATERAL TRANSFER To a related job classification on the same salary range RESTORATION TO FORMER CLASS OF VOLUNTARY INCREASE/DECREASE IN ASSIGNED TIME From To NOTE All requests for transfer will automatically be voided on 6/30 in accordance with the contract with the CSEA and District.

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