Fort Walton Beach Council agenda — 10-26-11 special attorney — reading text

,'+deach Are you under the age of 18? YES N NO e[ 5t'vd ck7 Are you legally authorized to work in the U. S.? N YES NO If a conditional offer of employment is made, you will be required to provide identification and proof of citizenship or authorization to work in the United States. The City of Fort Walton Beach is a Drug -Free Workplace Employer and requires applicants and employees to submit to Drug Testing. The City is an Equal Employment Opportunity Employer and will consider all applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. Individuals who require accommodations in order to complete the employment application process should contact the Administrative Services Director at the phone number, e- mail or mailing address listed above. How did you hear about this position? Newspaper ® Website Employee/ Friend Job Fair Packet Pg. 15  3. a relevant to the position you seek, such as NJJ Please list any knowledge, skil s, and abilities you possess and believetyping wpm, dictation, etc. operating equipment (specific types), computer skills ( specific programs), YV) Familiarity with fill range of Florida municipal and local government law; many years' experience with labor and employment, ep collective bargaining, law enforcement agency representation ( municipal and county sheriff), public records and Sunshine laws, municipal finance, Community Redevelopment Agency, and code enforcement issues. WJW71U 3 0zY Please list three persons, other than relatives who have knowledge of your work experience and /or education. U) NAME & ADDRESS OCCUPATION PHONE NUMBER LUU Allen, Michael Mattimore, Esq. Norma & Blue P. A. Attorney 850) 561 - 3503 ZW 906 North Monroe SL, Tallahassee FL 32303 1— ..__._ - -- w Greg Donovan Noitltwesr Florida Regional Airport Airport Director 850) 651 - 7160 LWL, 1701 State Rd. 85 ._.N _....._.......- Eohn AFB FL 32042 Thomas P. Money WK P. O Box 708 Jurist 850) 65 1 - 7486 Shalimar, FL 32579 1 HIGH SCHOOL, COLLEGE, UNIVERSITY OR PROFESSIONAL SCHOOL Select highest grade completed: 1 2 3 4 5 6 7 B 19 [ 110 11 12 ZCollege: E] 1 E] 2 E] 3 4 Graduate School: El 2® 3 4 Z Received Diploma? El YES NO Q Highest Degree Attained: Year Received: N Name of School City / State 1 Degree Major Type Course or of od University of Florida Gainesville, FL B A. - Political Science- 1965 Z Georgetown University Law Center Washington, DC J. D. - 1969 QU JOB RELATED TRAINING AND COURSE WORK (Please provide institution name, location and dete(s) of attendance) W Have you ever been discharged from employment because your work or conduct was not satisfactory? Cl YES 0 NO I Z Have you ever been convicted of a criminal Drug or Alcohol Offense? YES 0 NO 7 0 It yes, please give dates and explanation: it YES 0N CD Have you ever been convicted of a felony? ] Y If yes, please list each offense: U Q An aRmtafive answer will not automatically disqualify you from being considered as a candidate for employment. m I Packet Pg. 16  Please list all current and /or previous employment. Begin with your current or most recent position and list all previous positions m chronological order. If additional space is needed please submit supplemental sheets, resumes may be included. May we contact this employer? ® YES NO If No, explain: Employer Name: City of Pensacola Dates of Employment: July 2008 -April 2011 Address: 222 W. Main St Phone Number: (850) 435 -1615 Pensacola, FL 32502 Supervisor' s Name: Mayor Ashton J. Hayward Salary ( Begin & Ending): $ 155, 000 Full Time Part Time Reason far Leaving: Retire Position Held: City Attorney Duties/ Responsibilities: Cheif legal officer for City of Pensacola W,W, 33 E'E' Employer Name: City of Pensacola Dates of Employment: Jan 1985 July 2008 33 Phone Number: ( 850) 435 -1615 O Address: 222 W. Main St. aaamam Pensacola, FL 32502 H N Salary ( Begin & Ending): $ 35, 000A25, 000 Supervisor' s Name: Don Caton, City Attorney Full Time Part Time VmVm Reason for Leaving: Selected as City Attorney Position Held: Assistant City Attorney Duties/ Responsibilities: F Full range of municipal law issues including collective bargaining, labor and employment, law enforcement, code Z enforcement, civil service, constitutional issues, and general government law W Employer Name: William D. Wells, P. A. Dates of Employment: 1981 -Jan 1985 Address: 514 N. Baylen SL Phone Number. o Pensacola FL 32501 Supervisor' s Name: Self employed J Salary ( Begin & Ending): Private practice a Full Time Part Time Reason for Leaving: Join City of Pensacola Position Held: Private practice of law W Duties /Responsibilities. Law practice centering upon labor and employment, civil rights and local government representation Employer Name: National Office NAACP Dates of Employment: June 1970- Jan. 1981 Address: 1790 W. Broadway Phone Number: New York, N. Y. 10019 Salary ( Begin & Ending): 25, 000- 75, 000 Supervisor' s Name: Nathaniel R. Jones, Esq. Full Time Part Time Position Held: Assistant General Counsel Reason for Leaving: Relocate to Florida Duties/ Responsibilities: Responsible for supervising organization' s employment discrimination cases.  IAIA Please include any additional information that you think would be helpful to us in considering you for employment. Fto_U Since retiringfrom ful -time employment with the City ofPensacola, I have been serving OfCounsel with the Florida firmofAllen, u, Norton and Blue, P. A., on several of its pending matters in Northwest Florida, including issues involving Ft. Walton Beach. J Although I reside in Pensacola, I believe that my availability and flexibility, as well as my association with the firm would be able a to fulfill the City's legal needs at a reasonable cost. ZO J_ O a STATEMENTS OF AFFIRMATION AND AUTHORIZATION AFFIRMATION AUTHORIZATION 3m3m I understand that any employment offer will be I authorize and consent to every person, firm, company, contingent upon the successful completion of a pre - corporation, governmental agency, medical facility or Em placement medical examination and background practitioner, association, court, school, college, university or 33 investigation. As a part of the City's requirement for a institution having control of any documents, records and other mm work force