Fort Walton Beach Council agenda — 02-28-06 ‎(workshop)‎ — reading text

Finance Officers Association of TX 2002- present Active Member Government Finance Officers Association of TX 2002- present Active Member Texas Society of Certified Public Accountants 2002- present HONORS AND A WARDS Certificate of Achievement for Excellence in Financial Reporting - Awarded last 4 years in a row GFOA 200 I- present 5 year Service Award City of Denton 2005 MISCELLANEOUS 2002- present Proprietor - ,\}' illiam Michael Rodgers, CPA  ApPLICATION FOR EMPLOYMENT Mail to: Hand Deliver/ FedEx to: City of Fort Walton Beach City of Fort Walton Beach Human Resources Department Human Resources Department P.O. Box 4009 107 Miracle Strip Parkway SW Fort Walton Beach, Florida 32549 Fort Walton Beach, Florida 32548 Phone: ( 850) 833- 9507 E- mail: fwbhrdir@fwb. org Fax: ( 850) 833- 9931 Web Site: www. fwb. org Please complete each item in the following application in legible handwriting, printing, or type. Black ink is preferred. To be considered for employment the application must be completed in its entirety. Please list only one position per application. II I,3 . 5- Social Security No. Date of Application c C Q Le () 7~,Q; I)L D PAi I-.~ - / '7t,;;;. -, ( Present Address ( Street, City, State, Zip Code) C Z o q L/ O ( 9L/ [) ) ;;Ji/ - 7/ 9.s- U) a:: Home) w D. Valid Driver' s License [ VfYES [ ] NO CDL [ ] please specify class z o Position for Which Yon are Applying t{ 2E' C/ cf2 vt hrlAI'IC' L List Only One Position Per Application) C E Salary Expected t 75: tJ()() hourly ~ ual"') a:: Are you seeking ll Time ~ ] Part Time [ Seasonal o u. Z Are you able to work the hours required by the position? o.? 1Es [ ] NO Have you ever filed an application with the City before? YES [ 41<fo If Yes, give date( s) Z w Have you ever been employed with the City before? 1<[ YES [....]- 0 If Yes, give date( s) E Do you have any relatives currently employed by the City? YES [.... rNO If Yes, give name( s) o Are you under the age of 18? YES[~ O If Yes, give date of birth D. . S[] NO Are you legally authorized to work in the U. S.? E w 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 Human Resources Director at the phone number, e- mail or mailing address listed above. How did you hear about this position? L1I Jobline LJ)Newspaper ~ te LJ1 Employe /Friend LJ1 Other  or most recent position and list all previous positions in Please list all current and/ or previous employment. Begin with your current If additional is needed please submit supplemental sheets, resumes may be included. chronological order. space No If No, explain May we contact your current employer? [~ es [] j;. h.f\J""];" Di''^,- tA-~ Dates of Employment ,~ I> fk e 1- I', ~ -- f'~ 11- Employer Name ('.., '! ..., C J(1r' K'rJN~' bp/ 7X ' 7~~ i PhoneNo( 91/ 6)~ L/0- g,?() n Address,;;;?, 4- f*~: Salary (Beginning & Ending) 1 t f{ JO,(}( -" 75- Cl' C> Supervisor' s Name P,. 4- I} 0';21-," I" L Position Held ~ t1tP t ACCiH)Ir/ TtN~ ( Part/~) ReasonforLeaving Ad(,;/ 9-Nl'~ C';.' h2Pi'' .'<, I A- 101C/'- i.) Ald 1. }' AAlAlI !A I po pr;f! .k , r.., c;, Q: Employer Name C', + t tJ.{:.. ' T)e A1-J~III - re f14'~ Dates of Employment .:: l/" JOl) - d){ 1t) ~ o Address ,~ 15" G: /1-1 (: k. i ~"' J, Nf'... T) PN-kr~ ',' 1-- 1t..dr'J J Phone No ( qc/0 ) ' 3Qq - qdr)() to- Salary (Beginning & Ending) .$ 4 5', ) /)( 1 () - . J 5'8 A;);) Supervisor' s Name G# t C, 91,YI',~ rn 5~. Position Held < II/-' J J/.A CCt1f' JJ ~ N+-( Part / ~) i() Reason for Leaving !> lu/ J- k>d ./-),t, I ( ej:jr-l- c. X; DutieslResponsibilities P.2P A/ 2P : 1- 1~ N / I,T0.1 "~' )/ d A-AlNlIA / 1/