3.02e Bilingual Incentive Pay Request Form

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EMPLOYEE + POSITION INFORMATION

ID # *

Department *

Employee Name *

Job Title *

REQUEST TYPE

Request Type *

New Eligibility

Continuation of Eligibility

Language Required

Spanish

Check all that apply

Speak (Required to qualify)

Write

Summary of Job Duties * Provide a brief summary of the nature and purpose of your regular job duties that benefit from or require the use of a second language. Please specify the number of hours per week that you use your language skills to provide services and how often you interpret for others.

By signing, I verify that I have read the Bilingual Incentive Pay regulation and that the information provided above is accurate. Upon certification, I understand that I am required to recertify using language proficiency testing every 3 years, and that failure to do so will result in the loss of the Bilingual Incentive Pay. I understand that if I move to a new position that does not benefit from language services, I will no longer receive the Bilingual Incentive Pay.

Signature

Date *

Supervisor Name *

Date *

Dept. Director or Designee Name *

Date *

Signatures Please upload scanned signatures for: yourself, Supervisor, and Department Director.

* Required

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Please fill out the form and a representative from the City of Boise's Human Resources department will be in touch with you.

3.02e Bilingual Incentive Pay Request Form

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