Sie sind auf Seite 1von 7

ST~IE OF C;AI..

I~ORNIA- STATE PERSONNEL BOARD Applications will be processed ONL Y for classifications where an examination
EXAMINATION AND/OR is in progress and the published final filing date has not passed, or for vacant
positions where a department requests an application.
EMPL9Y~ENT APPLICATION
STD. 678 (REV. 12/2006) Page 1 PRINT OR .TYPE - PLEASE SEE INSTRUCTIONS ON BACK PAGE

APPLICANT;~ME (Last) (First) (M.I.) SOCIAL SECURI1Y NUMBER

I2AO~~'-I Joh,.,J 67D ~1/-/zJb


I
373>
(City)
r2
MAILING ADDRESS (Number) ,

~;9-i:.oh>t
(Street)

dGounty)
IE-MAIL ADDRESS

(State) (lip Code)


WORK TELEPHONE NUMBER
~J9- ?-FCJ ~ 1J97
HOME TELEPHONE NUMBER
rkSJoJ C '/J-. fl37Z ft;7 SS9 -2.21-2'9 l:.S­
EXAMINATION(S) OR JOB TITLE(S) FOR WHICH YOU ARE APPLYING PERSONNEL
USE ONLY
(! on skv...c I-i"'" 5 IAp-€ "-I.) I S. () £
/ o,e.J

FOR SPOT EXAMINATIONS, ENTER THE LOCATION WHERE YOU WISH TO WORK
ANSWER THE FOLLOWING QUESTIONS: (Answer questions 8, g, 10, andlor 11 only if the examination indicates they are required.)
1. Enter the county in which you would like to take the .....­
examination if different from the county of your residence: I fYlA.cl..PiLA- I rl"tA~,.., il Cf I ViS I "AAJ5t'.c..
r r I
2. Do you need reasonable accommodation to take an interview or written test? . o YES ~
3. Do your religious beliefs prevent you from taking an examination on Saturday? ••••••••••••••••••••••••••••••• ·········PP 0 YES ~
4. Are you now employed by the State of California? (If "YES", fill in the information below.)... ..... . 0 YES ~
Department: Subdivision:: _

5. Have you ever been fired, dismissed, terminated, or had an employment contract tenminated from any position for
performance or for disciplinary reasons? (Applicants who have been rejected during a probationary period, or whose

o YES ~
dismissals or terminations have been overtu rned, withdrawn [unilaterally or as part of a settlement agreement] or revoked

need not answer "Yes".) Refer to the Instructions for futher information. If "Yes" to Question #5, give details in Item #12.

5. In addition to English, list any other languages you:


a. possess verbal fluency in
b. possess written fluency in _
7. I certify I can type at a speed of words per minute. (For typing applicants only.)
(Answer Questions 8, g, 10, andlor 11 ONLY if the examination indicates they are required.)
5. Do you meet the minimum andlor maximum age requirements? ..... ~ DNO
:3 . . Do you possess a valid Cali ornia Driver licenSe (If "YES", fill in the information below.) PP,"PHPP.PPP,
... [f}-'f€ S 0 NO
License# ' Class:. Restrictions: /'J 0 IJ £
10. Have you ever been convicted by any court of a misdemeanor crime of domestic violence? . H.PH. 0 YES ~
11. Have you ever been convicted by any court of a felony? .0 YES ~
12. EXPLANATIONS

:::ERTIFICATION -IMPORTANT - PLEASE READ BEFORE SIGNING -If not signed, this application may be rejected.

I certify under penalty of perjury that the information I have entered on this application is true and complete to the best of my knowledge. I further understand
that any false, incomplete, or incorrect statements may result in my disqualification from the examination process or dismissal from employment with the
State of California. I authorize the employers and educational institutions identified on this application to release any information they may have concerning
my employment or education to the State of California.

~PPLICANT'S SIGNATURE ~.......... ~ ~

\~ () It! ?
~.,

:::Iasses 01 02 \03
I ,
,/

104
..,...
APPLICANTS-DO NOT U/;) THE SPACE BELOW-FOR PERSONNEL USE ONL Y
05 06
DATE ~)j
,
FOR PERSONNEL USE ONLY
Flags------­
"VC for Series "- STATUS
WC ­ o ACCEPTED 0 REJECTED WC ­
~C/Flag for Series
J EXPERIENCE LICENSE REQUIREMENT

CODES
I I I I I I I I I I EDUCATION OTHER

STAFF DATE PROCESSED


STATE OF CALIFORNIA - STATE PERSONNEL BOARD
"1 •~

EXAMINATION AND/OR
EMPLOYMENT APPLICATION
STD. 678 (REV. 12/2006) Page 2

(First) (M.I.) SOCIAL SECURITY NUMBER

J'Dh..J 670-11 -12.3 h


13. EDUCATION
DID YOU GRADUATE FROM HIGH SCHOOL? IF NOT, DO YOU POSSESS A GED OR EQUIVALENT? IF NOT, ENTER THE HIGHEST GRADE YOU COMPLETED

~ ONO DYES 0 NO J~/A bbDJ;:..


UNIVERSITY OR COLLEGE-NAME AND LOCATION,
UNITS COMPLETED DIPLOMA, DEGREE OR DATE
BUSINESS, CORRESPONDENCE, TRADE OR COURSE OF STUDY
SERVICE SCHOOL QUARTER
CERTIFICATE OBTAINED COMPLETED
SEMESTER

14. LIST BELOW VALID LICENSES, CERTIFICATES OF PROFESSIONAL OR VOCATIONAL COMPETENCE, OR MEMBERSHIP IN PROFESSIONAL ASSOCIATIONS
CALLED FOR IN THIS EXAMINATION ANNOU NCEMENT. (If you are an altorney, please include first Bar date with license Information if the examination announcement requires it)

DATE ADMITTED EXPIRATION IN THE SPACE BELOW, INDICATE SPECIFIC COURSE REQUIREMENTS NEEDED
lICENSE/CERTIFICATION NUMBER
TO THE BAR DATE TO SATISFY REQUIREMENTS FOR THIS EXAMINATION

15. EMPLOYMENT HISTORY- Beain with


FROM (M/DIY) TO (M/DIY)

Z 6~4 2oc't
HOURS PER WEEK I TOTAL WORKED (Years/Months)
. _56'1. SUPERVISOR

'I ilL} 5 "'/l.~ SC"f.I- rAJ~. l./1/7- IlDiP? f)A~ Sc.~·++


SALARY EARNED ADDRESS

eA-«.... 36i FItR$NO t!4 937/1

()1~../-I:LL FItAh't;~ tC.'C.. __ 4~ LA. 3a.-V­ t2.'Ut-J.2 p/~OJ"" flUbie..-.. S'o'~tl.. j..Vv.U{... w, '-+. 4LUl.

n Ad.- ,vc;; ~¥:. /-;<>,..1 tZiAIV j Gb S V ,,·d C~~;~ w,,:t.t... IA/lJ-i, Il il


~1lfi-m.L A..,I4W c~..v

+tt.i\-O~ S p'v-lU......, I ~/eO· £c..L

REASON FOR LEAVING ?AyR,I o.cc /~ ed' woe. ~


FROM (M/DIY) TO (M/DIY) TITLElJOB CLASSIFICATION (Include Range or Level, if applicable)

2.00 I 20 4 0 'l Nil f tt.A-ti""'" 1Jo1L~p,...J [s-s<;). J SUPE~VISOR.


HOURS PER WEEK
4()
SALARY EARNED
iJ 1(.$
TOTAL WORKED (Years/Months)

JV~>
COMPANY/STATE AGENCY NAME .J

,tJ/1
ADDRESS
Ie.Y~II\lle. ,,,,i-tItNA-J.-'''''AL 2, 1- OS,Sl /f?i!..t.. 8 fll J,..Fri'L
$ 4t-/142.~ PER veA-lt. 1. to to€. f'Jc.lJ.i'l.4/lJ hA"'" r!f.R.5N 0 t.a... 1 37 z.7
DUTIES P7RFORMED

IY'-l- 4t:- F If-.p-yro. ;..., J' 0 a. "... /4-yo.) ~ /lAp """I .J~O 12"'W'1 t·~ w(,).1.,.K.. W,u, IA.l5~(.k,t.(

,a.A.eX p/~.,.) RM..o.J J~PS ;,..I ' " ,4. 1"1l...~ FIL,q"..", i-I "o{.L. Wok.. 411 -I /l.A" <! ~

REASON FOR LEAVING

C(rrYle~y wil\.t. b~Uv.ef.


STAlE OF CALlF.€ l RNIA- STATE PERSONNEL BOARD

EXAMINATION AND/OR
EMPLOYMENT APPLICATION
STD. 678 (REV. 1212006) Page 3

APPLICANTS NA
ME (Last)
I3I2.A 0 /..-Q.A.A. (First)

.) () h,..J
(M.!.) I

I
SOCIAL SECURITY NUMBER

57D-/l-/23&>
15. EMPLOYMENT HISTORY (Cont/;6ed)

FROM;Q96 I TO 2% I TITLE/JOB CLASSIFICATION (/nclude Range orLev~/, ifapplicable)

¥'Il..A/YIIN<.? FtJlZhtll-4J / wo"J t M.t~I4L


HOU;;;;R WEEK I TO; WO~;:~~MOn~S) COMPANY/STATEAGENCY NAME} SUPERVISOR

Scoff- ~cn-n 15co l -l rAJ)... II DA-LJe. S CtJ++­


SALARY EARNED ADDRESS or

$ £14, Lf/7
DUTIES PffiFORMED
PER
7
Ve'A e. ,
J.. iJi.. su.i k.::it II) tf
i./ 0 3 ~ S­ /3Iu C!<..A/'f1.1l frMIJetA ell­ Q3fb3Y­
.stvJ4.p O ....+-. d.eJ-.o,·L ,R4A c.f. .p 141J 5
Ftl-1J1f-L­ w",,,d) 1-(/ IJr:L h () ""-L $ R-4/lJ (i L.l oN'

w;J..1.... o~'l. f-1Utd..e:> WAd IN$fJr!C J 'uY\j


Wea

REASON FOR LEAVING

~ 0 ILk.. lfJ AS S/ON


FROM (M/DIY) TO (M/DIY) TITLE/JOB CLASSIFICATION (Include Range or Level, if applicable)

/tjq7
HOURS PER WEEK
/998
TOTAL WORKED (Years/Months)
tJo"cl -C'1l.AJ1'IIN(
COMPANYISTATE AGENCY NAME J
/-lJ/U1Mf.."; I
-----,
C:Oh1h1 ~C(/4L /Jldf S
I SUPERVIS~R

i/IJ ~ him iJd/~ (h'l sj~IAC-H..iYl j ~t'lll-IJJL Uti/€.


SALARY EARNED
,
/ VIZ
ADDRESS

$ '3 Sj S-48 P~~Lcfnv-+ ,vc.. 'bt:t7 1: C().lh~ J'Il.-.J (!ifU.1..o.- F/lAJI\JC ('4 q 37Z,i)
DUTIES PERFORMED
PER
,v<?41L set1,,*,
I

F,t...,!:1~ C ~Ih et..CiLlL t3~/J"')$ ,2AV (·tot ..v 7J lV~p hiJ- ,24A-d' rll4lJ,}
Wood
rd../f .-L.t.. )J 141/ e loJ Spzc t.i ..." 5

REASON FOR LEAVING

IN Dn..C. W4.s SlovJ


FROM (M/DIY) TO (M/DIY) TITLE/JOB CLASSIFICATION (lnclud: Range or ~evel, if applicable) /

/ t}'i6 letf7 WtJOcJ.. F/lJC11J1 iY'L.{ I-OI'lm4N f't1mmdl:A,! b/c/("5


-fOURS PER WEEK TOTAL WORKED (YearslMonths) COMPANY/STATE AGENCY NAME 7 7 l SUPERVISOR

~D / YiZ 3/;,0, {)tJI~ /lVl.J/~eL¥ ePY)S 1-. I ,),tIle 18.11-1e~


5ALARY EARNED ADDRESS -v

$ 2 S'l 7'16
DUTIES PERFORMED
PER
r
veA/L :; 4AJ£,c.L
v
e. A-l ,

vJ~C'(j) rIC- .a...-.. 'l. Ii ..>Vh~(.,.qL. !:J ... t&,(...V ,<fQV Cu.v s /l'.dI'C ~1- ~,~£ ty14 AJ,.)

11 I'Ve. INSfr;(L.,~s

REASON FOR LEAVING

C~~ f.II-N a."..)-­ CJ+ ~M:!t::


-. .
STATE OF CAl,.IFORNIA - STATE PERSONNEL BOARD

EXAMINATION AND/OR
EMPLOYMENT APPLICATION
STD_ 678 (REV. 1212006) Page 4

APPLICANT'S NAME (Last) (First) (M.I.) SOCIAL SECURITY NUMBER

giAD~ Jo h..-J I 570 -) /.,-12..3 ro


15. EMPLOYMENT HISTORyJrContinued)
FROM (MlDIY) I TO (M/DIY) TITLE/JOB CLASSIFICATION (Include Range or Level. If applicable)

JOjtjl - 1'J'1r r~/~ Weo&. .t,fC.mIW I e iA .s:I-O'M j./.~


HOURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AG~NCY NAME SUPERVISOR

lIt> 'I \Ie A-tL$ Tim TIIJ "., blL C CIrI~ L. I TfYh T~b~
SALARY EARNED ADDRESS

$ 1?J.B4<t; PER yeA-/L U-z.65lO PB-AJIVI.{


7
flDvA-t- LN. IIl4fnei/. ('4. q 3ras-/
DUTIES ~RFORMED I

r::/l.A~ CtA.>~ I-I~ ("tA;clAi- SI1AP plAk /2nuf plANS Cuff sl-9{/c...

!200f5 i4 j PJ(}J()G J. AJati liJ04'.5 ttt.)hM e.,elt~Sf

REASON FOR LEAVING

Jk.e .J~b

--4s,:iA
SUPERVISOR

z VV4-llu t3 iA.J..L"L It.-) Doylf:. f\1C(Jl(.


ADDRESS'

PER ~/IJV(~ e4.

DUTIES

r/UI-rhL -fllAcll- I';{;\.~>e.> ? I~ 1... IArJ IV OJ"! It: s ivu i-- ;'5 I i&-&.(J ..;!ASc.~ btJt:<Ld

S K, P ~kui-/~5 ple.ce. tJ De-It.. jJlrwteJ -I- ,R.4-e-t //tHU eJ

-REASONFORLEAVING--­
~()w02 tJe.+1e1.. J D b /h lJl't.L. m trn.tu.,
FROM (M/DIY) TO (MIDIY) TITLE/JOB CLASSIFICATION (Include Ringe orLevel,lfapplicable)

jqB1 . jqB9 FMH\./l.1L.


HOURS PER WEEK TOTAL WORKED ('(ears/Months) COMPANY/STATE AGENCY NAME SUPERVISOR

tftJ Z YtC...J 3;n Clo\. CAb/ n/ii'\J'-'W I 0 msf.. I


o414f w;.\JcN,ll
SALARY EARNED ADDRESS

$ 13."$3 PER Vl. . r'ltP..j IlJO e ~.


DUTIES PI!RFORMED I

f';{41'1Ul. e t.W 41V1 f7~ t.-~-CtA- t!Kl-j 5//;clc. te~()/~ 'u.j~ e.lelll'1~
/41 ?/;'W()l;,& or, Roof ~ ,V4jl Plywood.

REASON FOR LEAVING

Fo~ be+~tL Job fY\ olt4.. n..DYl~


STA~E OF CALI~ORNIA-STATE PERSONNEL BOARD

EXAMINATION AND/OR
EMPLOYMEhlT APPLICATION
STD. 678 (REV. 12/2006) Page 5

EQUAL EMPLOYMENT OPPORTUNITY


(For Examination Use Only)
APPLICANT: To assist the State of California in its commitment to Equal Employment Opportunity, applicants are asked to
voluntarily provide the following information. This questionnaire will be separated from the application prior to the examination and
will not be used in any employment decisions. Government Code Section 19705 authorizes the State Personnel Board to retain
this information for research and statistical purposes.

SOCIAL SECURITY NUMBER

510~ Ii -12·3~
o
AGE
(1) UNDER 21
,,~
M (3) 21 - 39 0 (6) 40 - 69 D (7) 70 AND OVER
~~
LM" MALE D FEMALE

Ethnic Category (Please check the box that best describes your racelethnicity.):

o (7) AMERICAN INDIAN OR ALASKAN NATIVE-Persons having origins in any of the tribal peoples of North America, and who maintain cultural
identification through tribal affiliation or community recognition.
-ENTEF(TRisALiDENTiFICATIClN -OR-AFF"iUATION---------------------------------------- ------------------------------------ ---------- --------------- ---------------- ---------- -----­

0(2) ASIAN-Persons having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent. This includes China, Japan,
and Korea.
:::J- (1)
BLACK-Persons having origins in any of the black racial groups of Africa.

:::J- (8)
FILIPINO-Persons having origins in any of the original peoples of the Philippine Islands.
-
:::J (4)
HISPANIC-Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
-
:::J (6)
PACIFIC ISLANDERS-Persons having origins in the Pacific Islands, such as Samoa.

~ WHITE-Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.

::heck if:
----, (3)
--.J OTHER (Specify)

~ (Y) DISABLED-A person with a disability is an individual who: (1) has a physical or mental impairment or medical condition that limits one or more life
activities, such as walking, speaking, breathing, performing manual tasks, seeing, hearing, learning, caring for oneself or working; (2) has a record or
history of such impairment or medical condition; or (3) is regarded as having such an impairment or medical condition.

~ MlliTARY-A military veteran; a widow or widower of a veteran; or a spouse of a 100% disabled veteran.

-tow did you learn of this Examination?


~ TELEPHONE JOB LINE D WORD OF MOUTH ~RNET

~ ADVERTISEMENT IN D EXAMINATION BULLETIN LOCATED AT

THANK YOU FOR COMPLETING THIS QUESTIONNAIRE

John Bradley
3734 E. Dakota 93726

Fresno, CA

Home: (559)227-2965 Cell: (559)250-9597

Objective: A position with a construction company where I can use my skills and abilities.
Forman/Supervisor

Highlights: • Self-starting, goal-oriented strategist whose confidence, perseverance and vision


promote success.
• Self-motivated and assertive.
• Quickly learn procedures and methods.
• Particular areas of expertise include metal framing/wood framing
• Over 20 years experience in all phases of construction.
• Major strengths in planning, problem solving and communication.
• Knowledgeable and experienced in all phases of wood and metal framing
• Dependable - can work without supervision.
• Demonstrated record of high performance standards, including attention to
schedules, deadlines, bUdgets and quality work.
• Demonstrated effective leadership skills.
• Demonstrated accuracy, attention to detail and ability to work well in team
environment.
• Demonstrated ability to work effectively with clients.
• Demonstrated ability to consistently meet deadlines.
• Capable of handling multiple projects concurrently.
• Can easily break a large project down into smaller pieces, prioritize goals, work
under short deadlines without sacrificing creativity.
• Able to work under pressure and meet deadlines.
• Able to work independently.
• Able to translate ideas into concrete written or visual form to share with others.
• Able to follow directions.
• Able to direct and lead others to produce desired results.
• Able to work with others toward a team goal.
• Assertive, self-motivated, goal-oriented, organized and efficient.

Experience:
• Built multiple bUildings(ground up) concrete to finish.
• Lifted, carried and held building materials, tools and supplies.
• Trained 10-20 men as framers
• Cleaned tools, equipment, materials and work areas.
• Can drive all kinds of equipment: gradall scissor lifts etc.
• Supervised 10-20 men, scheduled work hours, resolved conflicts, determined
salaries.
• Bolted, nailed, aligned and blocked up under forms.
• Erected scaffolding, shoring and braces.
• Applied caulking compounds by hand and with caulking gun to seal crevices.

Employment: Scott Commercial Fresno, CA


Foreman 2004-2008

All Texture International Fresno, CA


2nd Foreman 2001-2004
Scott Interior/Scott Commercial Fresno, CA
Foreman 1998-2001

Wille Construction Fresno, CA


Wood/ Commercial bUildings 1997-1998

Dale Rutledge Construction Fresno, CA


Foreman Commercial wood 1996-1997

Scott Interior Fresno, CA


Wood framing/Bricker homes 1995-1996

Trimble Construction Fresno/Clovis, CA


Ackian customs/Benart homes 1991-1995

Ward Builders Fresno, CA


Track homes, Doyle McCory homes 1989-1991

Gary Winchell Construction Fresno, CA


Custom homes 1987-1989

Bonadelle Homes Fresno, CA


Track homes 1987

Education: Santa Cruz High School Santa Cruz California

References: Available upon request

£/ch f!..t1++' b~ CoytZJ ~S-9- :3S-Z- 0 2.12­


Di4ve.. SCtt..J.-.J..­ fOyO -::,-.s-C; t./t./7 - I bfo c;

7 yes ~ S-'7 - 7 7 'I - 6 «83


12 0 bolZ.'+· SN'tc1Jz.~

J'oe. tJ oC '+-o I Sy/lS ss-e, - 2~ 7 - 30gb

Das könnte Ihnen auch gefallen