Page 10 - SAC - DPW - AMB 10 07 19

EMPLOYMENT APPLICATION
CITY OF SACRAMENTO Received: __________________
915 I Street, Historic City Hall
Sacramento, California 95814-2604
(916) 808-5726
https://www.cityofsacramento.org/HR

QUESTIONS WITH AN * REQUIRE A RESPONSE. YOUR APPLICATION MAY NOT BE CONSIDERED IF INCOMPLETE.
JOB INFORMATION
020021
Director of Public Works
* JOB POSTING NUMBER: * POSITION TITLE:

PERSONAL INFORMATION
* FIRST NAME MIDDLE INITIAL * LAST NAME
BALHAR SANDHU
* ADDRESS

2026 KONA WAY
* CITY * STATE * ZIP

MANTECA CA 95337
HOME PHONE ALTERNATE PHONE

209-604-6859
* WHICH METHOD DO YOU PREFER TO BE NOTIFIED ABOUT YOUR
* EMAIL ADDRESS

bsandhu@modestogov.com APPLICATION STATUS? EMAIL OR PAPER

EDUCATION

WHAT IS YOUR HIGHEST LEVEL OF EDUCATION:
Some High School Some College Associate’s Degree Master’s Degree
High School Technical College Bachelor’s Degree Doctorate

LEGAL RIGHT TO WORK
CAN YOU, AFTER EMPLOYMENT, SUBMIT PROOF OF YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES? YES NO

EDUCATION
SCHOOL NAME DEGREE RECEIVED
California State University Master's
SEMESTER QUARTER
SCHOOL LOCATION (CITY/STATE) DID YOU GRADUATE? # OF UNITS COMPLETED:
Sacramento, CA YES NO
30
MAJOR
Civil Engineering

SCHOOL NAME DEGREE RECEIVED
Gulberga University Bachelor's
SEMESTER QUARTER
SCHOOL LOCATION (CITY/STATE) DID YOU GRADUATE? # OF UNITS COMPLETED:
Gulberga, India YES NO
Four Years Degree
MAJOR
Civil Engineering

SCHOOL NAME DEGREE RECEIVED

SEMESTER QUARTER
SCHOOL LOCATION (CITY/STATE) DID YOU GRADUATE?
YES NO # OF UNITS COMPLETED:

MAJOR

DRIVER’S LICENSE INFORMATION
STATE WHERE
* IF THE POSITION INVOLVES DRIVING, DO YOU HAVE A VALID LICENSE? YES NO ISSUED CLASS
C
California

CERTIFICATES & LICENSES
TYPE DATE ISSUED (MONTH/YEAR) EXPIRATION DATE (MONTH/YEAR)
Professional Engineer (Civil) 07/23/1999 12/31/2019
LICENSE NUMBER ISSUING AGENCY
C59650 CA Board for Professional Engineers and Land Surveyors

TYPE DATE ISSUED (MONTH/YEAR) EXPIRATION DATE (MONTH/YEAR)
Project Management Professional 09/04/2003 09/04/2022
LICENSE NUMBER ISSUING AGENCY
73655 Project Management Institute