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Home My Public Portal AboutPRR 14-1563From: gonna white [mailto:gonnawhite @gmail.coml Sent: Saturday, October 04, 2014 10:36 PM To: Bill Thrasher Subject: Records needed- Kelley Avery employment app. This is a Public Record Request made to the Custodian of Records for your agency Please provide the following record: Kelly Avery's employment application. I make this request pursuant to Article 1 section 24 of the Florida Constitution and Chapter 119, Florida Statutes. I ask that these records be provided in an electronic format. If the original record was created electronically than please produce the record in the very same format in which it was created. If the record was not originally created electronically, but was digitally replicated for electronic archiving or storage, than please produce the record it its current electronic form. If the record was not created electronically and was never electronically replicated than please digitally replicate the record for the purpose of copying it to me. I request all digital records not be "flattened," de- normalized, reduced in quality or altered in any way. If you deny this request in whole or in part, I request that you advise me in writing, as required by section 119.07(1)(e) and (f), Fla. Stat., of the particular statutory exemption upon which you are relying and that you state with particularity the reason for your conclusion that the record is exempt. If an asserted exemption applies to only a portion of a record, please delete the portion that you claim is exempt and release the remainder of the record as required by section 119.07(1)(d). I will pay for the "actual cost of duplication" of the public records as defined by Florida Statutes, section 119.011(1). Please advise me of these costs in advance before taking any billable steps. This is a request for a singular public record or group of public records. Please do not gang this request with any other requests regardless of the time period in which you receive this and other requests or the similar nature of any other request to this one. Address all responses to this request to: Aonnawhite(") amail.com TOWN OF GULF STREAM APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer 100 Sea Road Gulf Stream, Florida 33483 (561) 276 -5116 FOR OFFICE USE ONLY Application No. Date Posted (PLEASE PRINT PLAINLY IN BLUE OR BLACK INK) PERSONAL INFORMATION Date: 11D I 1Z. 11 Name (F st) (TM-fiddTe) Social Security Number �(Loast) vli "- 1— '1''e. - Mailing Addr City, State and ZIP Code Telephone Number Flcri Driv 5sLicettse umber (Only if applicable to position) _ _ CDL () Operator Are you a citizen of the United States or a registered alien? ....................... ............................... Yes �4 No ( ) have you ever been convicted of an offense against the law or forfeited collateral, or are you now under charges for any offense against the law? You may omit traffic violations for which you were fined S30 or less, and any offense committed prior to your 21st birthday that was finally adjudicated in a juvenile court or under a youthful offender law .................... ............................... Yes () No j?4 While in the military, were you ever convicted by a general court martial ............. ............................... Y"() No 114 If the answer is "Yes" to any of the above, give details below. For each offense, show the date, charge, place, court, and action taken. Attach extra sheets of paper if necessary. NOTE A conviction does not automatically mean you will not he hired. Have you ever been employed by the Town of Gulf Stream before? If so, give dates of employment: IyL� EDUCATION CIRCLE HIGHEST GRADE COMPLETED �\ Grade School 1 2 3 4 5 6 7 8 High School 1 2 3 4 College 1 l� l3 4 Graduate 1 2 3 4 Schools Name /Address Major Did you Degree graduate? High School or GED College -t--1 `�1� i .i—L. miYY? -C..O S 6 J Graduate School Vocational School \ Other Training (��-t�,� t } �1 �. �yL �- l%�c'�T iKrS1 JOBINTEREST Position Applied For: S j rC Date you can begin: W 4 � l Salary Desired: "-'� GI fy OIA Will you accept: Temporary Work Yes O No OJ Part -Time Work Yes 0 No MILITARY SERVICE RECORD Were you in the United Sates Armed Forces? Yes () No X) If 'Y",' what branch? Dates of Duty: to /'' Grade at Discharge List duties in service, including special training received: SPECIAL SHILLS, APTITUDES and OTHER QUALIFICATIONS List details oC all shills, aptitudes and other qualificadons that you (ee! are relevant to employment Typing Speed- fr. --Z� words per minute Shorthand wpm Speed Writinnng wpm Oce machines you can operate e(ficiently. 16�1]kt -�� C nO/1 t r �nArm . fin. r vPl] is Machinery or heavy equipment you can operate efficiently. Scholarships, fellowships, honors, etc, you have received: Special qualifications and skills (licenses, certificates, memberships in professional REFERENCES (Excluding former employers and relatives) Name and Occupation Address e. 1. Type of Discharge: or societies, etc.): Phone Numbers (Day and Evening) (pl l0 7) W - 0 1- ID fy c 3Uq - 2 q I - &99D &) Additional copies of the inserted page for PRESENT AND PRIOR EMPLOYMENT may be made by the applicant or requested from Town Hall, as necessary. PRESENT AND PRIOR EMPLOYMENT List below all present and past employment, beginning with your most recent. All spaces must be completed. A resume may be submitted, but it cannot substitute for completing the questions below. Do not answer a question below with "see resume." Name and Address of Company and Type of Bu ess: �ta'ofi� 1 �Qt_3 1. fill-/ r �Ui�l C l�al l May we contact your pr�sent/most recent employer at this time? Yes 1S� No ( ) IC o, " when? Hired lD / I l Month /fear Job Title: be � � v k k Starting Salary Last Salary M/ /eusi ti I�l„{ � i�V "`5 r' i Left �= Describe the work you did: Y`(1rin" S� l ns�� g� (� Y2ie?l� "_� i�11gC Name and Title of Supervisor I Vlc, y� Month/Year Telephonep:. Reason for Leaving: Name and Address of Company and Type of Business: }., 2 1� I 1' 1JS YV1VY11L'ti t�1 Hired Montt/Vear I Title- / \31 tK'1� Od ILQ "'a A— Starting Salary Last Salary q• hr 17 h Left S/ Month/Year De ibe t w 9111mej k you did: /� 4��k/ lit l��'1�91 A/P{, II 1(1S>U�� 'b xAjL4) t PSG (Ne� 1tC7crr�sQt e �)ppfvl5�I Name and Title of Supervisor `1 sYVtt Telephone: ` Reason for Leaving: -Cz, Name and Address of Company and T e of Business: p h1�ne Fss�.t kt1YV1 Q, (� VVVV� Hired pDQ1 Month/Year Job Title: I L lJ`�"'�^�� Starting Salary Last Salary �✓•� q.ri Left Month/Year�2 Describe the work you did S IJ _o �'ti� OtC Comte Yl'YJ � �,p �)d �'��,l►� Name and Title of Supervisor r -s qn -GR l x`'6(717 Reason for Leaving: r �� y- V 1 Additional copies of the inserted page for PRESENT AND PRIOR EMPLOYMENT may be made by the applicant or requested from Town Hall, as necessary. TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail October 8, 2014 Gonna white [mail to: gonnawhite @gmail.com] Re: GS #1563 (Kelley Avery employment app.) Kelly Avery's employment application. Dear Gonna white [mail to: gonnawhite(o)gmail.coml, This letter provides you with the full production of public records you have requested in your email dated October 4, 2014. Your original request can be viewed at the following link: http: / /www2.gulf- stream .orgfWebLink8 /0 /doc /23317/Page l .asyx. Be advised that the responsive records are available at the same link. Please note that the social security number has been redacted pursuant to Fl. Stat. 119.071(4)(a) and the phone number and address have been redacted pursuant to Fl. Stat. 119.071(2)0). We consider this matter closed. Sincerely, Town Clerk Custodian of the Records From: gonna white [mailto:gonnawhite @gmail.com] Sent: Thursday, October 09, 2014 9:04 PM To: Bill Thrasher Subject: Public record second request Dear Custodian of Records, I recently requested a record from you. That request, copied here for your reference, was as follows This is a Public Record Request made to the Custodian of Records for your agency Please provide the following record: Kelly Avery's employment application I make this request pursuant to Article 1 section 24 of the Florida Constitution and Chapter 119, Florida Statutes. 1 ask that these records be provided in an electronic format. If the original record was created electronically than please produce the record in the very same format in which it was created. If the record was not originally created electronically, but was digitally replicated for electronic archiving or storage, than please produce the record it its current electronic form. If the record was not created electronically and was never electronically replicated than please digitally replicate the record for the purpose of copying it to me. I request all digital records not be '9lattened, "de- normalized, reduced in quality or altered in any way. If you deny this request in whole or in part, I request that you advise me in writing, as required by section 119.07(1)(e) and (f). Fla. Star, of the particular statutory exemption upon which you are relying and that you state with particularity the reason for your conclusion that the record is exempt. If an asserted exemption applies to only a portion of a record, please delete the portion that you claim is exempt and release the remainder of the record as required by section 119.07(1)(d). I will pay for the "actual cost of duplication" of the public records as defined by Florida Statutes, section 119.011(1). Please advise me of these costs in advance before taking any billable steps. This is a request for a singular public record or group of public records. Please do not gang this request with any other requests regardless of the time period in which you receive this and other requests or the similar nature of any other request to this one. Address all responses to this request to: gonnawhite(&gmail.com You responded to this record request, copied here for your reference, as follows: This letter provides you with the full production ofpublic records you have requested in your email dated October 4, 1014. Your original request can be viewed at the following link: http:// www2 .Eulf- stream.org/WebLink8/0 /doc /23317 /Pagel.aspx. Be advised that the responsive records are available at the same link. Please note that the social security number has been redacted pursuant to Fl. Stat. 119.071(4)(a) and the phone number and address have been redacted pursuant to Fl. Stat. 119.071(2)6). We consider this matter closed Please note that my request asked you to state with particularity the reason for your conclusion that the record is exempt.You have advised me of the statute providing for the exemption but you have not stated with particularity the reason for the exemption. Therefore I am again asking for this complete public record or the particular reason for each exempted portion you choose to withhold. Please consider this my second request for the complete record of Kelly Avery's employment application or that portion of the record not exempted by law. Please address all responses to this request to::gonnawhite(d).omail.com CORRECTION TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail October 10, 2014 Gonna white [mail to: gonnawhite @gmail.com] Re: GS #1563 (Kelley Avery employment app.) Kelly Avery's employment application. Dear Gonna white [mail to: gonnawhiteAgmail.coml, This letter provides you with the full production of public records you have requested in your email dated October 4, 2014. Your original request can be viewed at the following link: hn: / /www2.gulf- stream. ore /W ebLink8 /0 /doc /23317/Pagel .Mpxx. Be advised that the responsive documents can be found at the same link. Please note that the social security numbers have been redacted pursuant to Fl. Stat. 119.071(4)(a). Please also note that the phone number and address have been redacted pursuant to Fl. Stat. 119.071(2)0) and, specifically, the second sentence of that section. We consider this matter closed. Sincerely, Town Clerk Custodian of the Records