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 Capital Region (rcoleman@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 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 - BPMS, Sportime PB sites
Chelsea Riccio - KP, BT, ROS, STM
Jared Elgayeh - KP, BT - on behalf of Chelsea Riccio
Matt Li - LB, HL, PW - on behalf of Chelsea Riccio
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
Capital Region
Englewood
Harbor Island
Hempstead
Kings Park
Lake Isle
Lynbrook
Port Washington
Quogue
Randall's Island
Roslyn
Syosset
Wayne
Westbury
Yorktown
New:
Please Choose One
Amagansett
Armonk
Bethpage
BPMS
Capital Region
Englewood
Harbor Island
Hempstead
Kings Park
Lake Isle
Lynbrook
Port Washington
Quogue
Randall's Island
Roslyn
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