Page 60 - 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
* JOB POSTING NUMBER: 020021 * POSITION TITLE: Director of Public Works
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
APPLICATION STATUS? n EMAIL OR PAPER
bsandhu@modestogov.com
EDUCATION
WHAT IS YOUR HIGHEST LEVEL OF EDUCATION:
Some High School Some College Associate’s Degree n 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
n 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? # OF UNITS COMPLETED:
YES NO
MAJOR
DRIVER’S LICENSE INFORMATION
STATE WHERE
* IF THE POSITION INVOLVES DRIVING, DO YOU HAVE A VALID LICENSE? YES NO ISSUED CLASS
California C
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