CHANGE OF STATUS FORM
Please complete all required fields and select the desired options.
MANAGER INFORMATION
Club:
Please Choose One
Central Office (msaunders@sportimeny.com,connie@sportimeny.com)
SPORTIME Amagansett (hsromova@sportimeny.com)
SPORTIME Armonk (armonk@sportimepickleball.com)
SPORTIME Bethpage (criccio@sportimeny.com, mkinalis@sportimeny.com)
SPORTIME BPMS (jbrito@sportimeny.com)
SPORTIME Englewood (ckwon@sportimepickleball.com)
SPORTIME Harbor Island (gigi@sportimeny.com, ccampo@sportimeny.com)
SPORTIME Hempstead (flabiento@sportimeny.com)
SPORTIME Kings Park (krowe@sportimeny.com)
SPORTIME Lake Isle (bgivens@sportimeny.com; ccampo@sportimeny.com)
SPORTIME Lynbrook (flabiento@sportimeny.com, criccio@sportimeny.com)
SPORTIME Port Washington (rschreiber@sportimeny.com, criccio@sportimeny.com)
SPORTIME Quogue (tvanepps@sportimeny.com)
SPORTIME Randall's Island (skrstic@sportimeny.com, mbowtell@sportimeny.com)
SPORTIME Roslyn (criccio@sportimeny.com, mli@sportimeny.com)
SPORTIME Schenectady (rcoleman@sportimeny.com)
SPORTIME Syosset (criccio@sportimeny.com, jelgayeh@sportimeny.com)
SPORTIME Wayne (rryan@sportimepickleball.com)
SPORTIME Westbury (lscotti@sportimepickleball.com)
SPORTIME Yorktown (mrose@sportimepickleball.com)
Hiring Manager Name:
(Your full name)
Hiring Manager Email:
(Your sportimeny.com email. Separate multiple emails with a comma)
Approved by GM?:
Yes
No
Managing Director:
(Who this form will be sent to)
Please Choose One
Ben Schlansky - NYC, HI, LISLE, SCH
Claude Okin - AM, AMMS
Jeff Crowne - QUO
Joe Siegel - KP, BPMS, LB, HL, PW, Sportime PB sites
Chelsea Riccio - BT, ROS, STM, LB, HL, PW - on behalf of Joe Siegel
Laurie Harlin
Courtney Repoli
Carlos Campo - HI, LISLE, SCH - on behalf of Ben Schlansky
Stefanie Krstic - NYC - on behalf of Ben Schlansky for all non-coach positions
Mark Bowtell - NYC - on behalf of Ben Schlansky for all coach positions
Kelly, Tony and Shane (live test only)
CHANGE OF STATUS INFORMATION
Employee Name:
Payroll Number:
Effective Date:
Employment Letter:
(check all that apply)
Employment Letter Required
Employment Letter Update
What Changed?:
Wage:
Yes
No
Old:
$
Hourly
Weekly
Annually
New:
$
Hourly
Weekly
Annually
Title:
Yes
No
Old:
New:
Hours:
Yes
No
Old:
New:
Club:
Yes
No
Old:
Please Choose One
Amagansett
Armonk
Bethpage
BPMS
Englewood
Harbor Island
Hempstead
Kings Park
Lake Isle
Lynbrook
Port Washington
Quogue
Randall's Island
Roslyn
Schenectady
Syosset
Wayne
Westbury
Yorktown
New:
Please Choose One
Amagansett
Armonk
Bethpage
BPMS
Englewood
Harbor Island
Hempstead
Kings Park
Lake Isle
Lynbrook
Port Washington
Quogue
Randall's Island
Roslyn
Schenectady
Syosset
Wayne
Westbury
Yorktown
Reason For Change:
(check all that apply)
90-Day, Annual or Merit Increase
Please describe the increase in detail below
Re-Evaluation of Job
Promotion
Department Transfer
Club Transfer
Other Reason
Other reason:
Job Description:
Optional .pdf, .doc, or .docx