Texas A&M AgriLife Extension Service

Texas A&M AgriLife Extension Service – District 12

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County Personnel Update

County Office - New Hires/Separations/Updates

Submit this form to report all changes in your county office staff, such as new employees, resignations, position updates, etc. This is internal and intended for District Office use only to notify us of county office staffing updates.

County*
New Hire/Separation*
- New Hire
- Separation
- Other
Effective Date*
MM slash DD slash YYYY
Full Name of the Employee*
First Last
Preferred First Name*
Example: If first name is "Elizabeth", Preferred Name: "Liz"
Preferred Name
Official Title*
Whom is this person replacing?
Indicate the name of the person that was previously in this position. Make sure you have submitted the separation update for them separately.
Is this a full or part time position?*
- Full Time
- Part Time
List the times this person will be working in the office.*
(Ex. 8am-12pm)
How is this position being funded?*
- County Funded
- Funded by an AgriLife Unit
Name of AgriLife Unit/Dept funding this position.*
(Ex. BLT, HORT, HST, etc.)
Which IT services listed below will this New Hire require:*
- AgriLife Email (agnet access)
- Microsoft Teams
- County Email box Access
- WordPress Access (to manage County website)
- OneDrive D12 Shared Folder Access (for County Reports--limited to County Coordinator & Office Manager only)
- None
Reason for Separation
What update(s) do you need to make?
Be very specific in your request. Include names if necessary. (Example: Title change from ________ to ________ for employee _________.)
ATTN: Please Click Here to print form AG-704 and have the New Hire sign and date it then email the document to the District Office Manager as soon as possible for Laserfiche access.
Email of County Coordinator or Extension Agent requesting this update*
Please enter the email address of the AGENT requesting this update. A confirmation will be sent to this email address.

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Comments/Issues*
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Max. file size: 20 MB.
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A unique education agency, the Texas A&M AgriLife Extension Service teaches Texans wherever they live, extending research-based knowledge to benefit their families and communities.

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Contact

District 12
2401 East Business 83
Weslaco, TX 78596

Mon-Fri 8:00am-5:00pm
d12south@ag.tamu.edu
Phone: 956.968.5581
Fax: 956.968.5639

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