Page 115 - SAC - DPW - AMB 09 05 19

SKILLS
TYPING (NET WORDS PER MINUTE) DATA ENTRY (NET WORDS PER MINUTE)
OFFICE SKILLS
40

OTHER SKILLS Design software and excellent user of the technology

SKILL SKILL LEVEL EXPERIENCE (YEARS OR MONTHS)
Word BEGINNER SKILLED EXPERT 10 +
SKILL SKILL LEVEL EXPERIENCE (YEARS OR MONTHS)
Excel BEGINNER SKILLED EXPERT 10 +
SKILL SKILL LEVEL EXPERIENCE (YEARS OR MONTHS)
Microsoft Office BEGINNER SKILLED EXPERT 10 +

LANGUAGES OTHER THAN ENGLISH THAT YOU ARE PROFICIENT IN
LANGUAGE Urdu LANGUAGE Hindi
SPEAK READ WRITE SPEAK READ WRITE
ADDITIONAL INFORMATION
Clinical Experience, Honors & Awards, Interests & Activities, Military Service, Personal, Professional Associations, Professional Memberships, Publications,
Technical, Volunteer Experience, Other/Miscellaneous

Please see resume.

REFERENCES
Please list references you wish to include (Personal/Professional). Please include: Name, title, phone number, email, and mailing address.
1.Dr. Doug Nordby (701) 570-2300
Current Chairman, Board of County Commissioners
Direct Supervisor

Local Eye Doctor

2.Amanda Willis (701) 770-4076
HR Director

3.Jeff Shaffer (701) 580-6167
Director, Water Resources District
Direct Report

4.Todd Schwartz (701) 400-7486
Chief Assistant, States Attorney
Liaison, from States Attorney’s Office

5.Rick Schreiber (701) 570-1097
Solid Waste Director
Direct Report

6.Dr. Mark Goodenow (507) 537-6181
Past Chairman, Board of County Commissioners
Current position: Law Professor at Southwest State University, Marshall, MN
Direct Supervisor APPLICANT DECLARATIONS
7.Todd Bodem (831) 917-6230

Past Client when he worked in Minnesota
Current Position: City Administrator, City of Sand City, CA
I certify that all statements in this application are true and complete. I agree and understand that any misstatements or
Contact person for the largest client for the company
omissions of material facts herein will cause forfeiture on my part of all rights to employment by the City of
8.Loren Stomberg (507)537-6980
County Administrator, Lyon County
Direct Supervisor
Sacramento. I understand that if I do not meet the announced requirements, I will be eliminated from the examination
9.Glen Olson, PE (507)537-6773
process, and that applications must be received by the City Employment Office at Historic City Hall, 915 I Street, Plaza
Director of Public Works/City Engineer
Counterpart with City of Marshall (county seat and the largest city in southwest region)
Level, Sacramento, CA 95814 by 5:00 p.m. on the final filing date specified on the Job Announcement. I hereby
10.Vawnita Best (701) 580-1862
Past vice Chairman, Board of County Commissioners
authorize the City to verify the accuracy of the information I have provided on this application. I understand that
Direct Supervisor
Local Business Owner
applications that do not list related job experience in the “Work Experience” section will be considered incomplete and
will be rejected.

AUTHORIZATION TO RELEASE EMPLOYMENT RECORDS AND OTHER INFORMATION
I authorize any duly accredited representative of the City of Sacramento to obtain any information relating to my
activities from prior and current employers and others. This information may include, but not limited to, achievement,
performance, attendance, personal history, and disciplinary information. I direct prior and current employers to release
such information upon request to the duly accredited representative of the City of Sacramento regardless of any
agreement I may have had with you previously to the contrary. I release any individual, including records custodians,
from all liability for damages that may result to me on account of compliance or any attempts to comply with this
authorization.
I have read and understand the above information.

Digitally signed by Suhail Kanwar
Suhail Kanwar DN: C=US, E=suhailkanwar@gmail.com, O=MC, 7/29/2019
OU=McKenzie County, CN=Suhail Kanwar
X______________________________________ ______________________
Date: 2019.07.29 17:18:25-05'00'
SIGNATURE OF APPLICANT DATE