2 State of Florida EMPLOYMENT APPLICATION Equal Opportunity Employer/Affirmative Action Employer The State of Florida does not tolerate violence in the workplace. Where to Find Vacancy Information: On the Internet: https://peoplefirst.myflorida.com One Stop Career Centers - Consult your local telephone directory or visit employflorida com State Agency Human Resources Offices FOR OFFICIAL USE ONLY Agency Authorized Signature Date Broadband Class/Code Status POSITION APPLIED FOR Position Title: EXECUTIVE DIRECTOR-FDLE Date Available: Position Number: Counties of Interest: Leon Minimum Acceptable Salary: Negotiable GENERAL INSTRUCTIONS FOR COMPLETION OF APPLICATION: The application is T submitted until you have electronically signed it by entering your password. If the space provided is not sufficient for all information regarding past employment, education history, etc., attach a resume or other supporting documentation in the same format. All information provided will be a public record and will be released upon request, unless exempt or confidential by law. Applications and supporting documentation must be submitted, no later than 11:59 PM (ET) on the announced deadline date. If, because of a disability, you require a special accommodation to participate in the application and selection process, please notify the hiring authority in advance. All information you submit is subject to verification. EDUCATION HIGH SCHOOL: HOW DO WE CONTACT YOU? JEFFERY First Name* Middle Name People First Employee ID Number (if any) s (4)(d)2.a.(I) F.S. Mailing Address* s (4)(d)2.a.(I) F.S. City* State* s (4)(d)2.a.(I) F.S. Leon County Phone Number* Address BRYAN Last Name* Zip Code* Alternate Phone Number NAME/LOCATION OF SCHOOL Oil City Senior High School DIPLOMA RECEIVED: Yes YOUR NAME, IF DIFFERENT WHILE ATTENDING SCHOOL: COLLEGE, UNIVERSITY OR PROFESSIONAL SCHOOL: (TRANSCRIPTS MAY BE REQUIRED) NAME OF SCHOOL University of Pittsburgh LOCATION DATES OF ATTENDANCE CREDIT HOURS EARNED FROM TO QTR SEM Pittsburgh, PA 09/ / MAJOR / MIR COURSE OF STUDY Economics TYPE OF DEGREE EARNED YOUR NAME, IF DIFFERENT WHILE ATTENDING SCHOOL: LICENSURE, REGISTRATION, CERTIFICATION (EXAMPLES : Teacher Certification, RN, LPN, PE, CPA, etc.) LICENSE, REGISTRATION OR CERTIFICATION Number Date Received Expiration Date State Licensing Agency Florida Driver's License s s (2)(a) F.S. 05/2014 /2022 Highway Safety
3 JOB-RELATED TRAINING OR COURSE WORK: NAME OF SCHOOL LOCATION (VOCATIONAL, TRADE, GOVERNMENTAL, BUSINESS, ARMED FORCES, ETC.) DATES OF ATTENDANCE CREDIT HOURS EARNED COURSE OF STUDY TRAINING COMPLETED FROM TO CLASS CLOCK YOUR NAME, IF DIFFERENT WHILE ATTENDING TRAINING: KWLEDGE / SKILLS / ABILITIES (KSAs) List KSAs you possess and believe relevant to the position you seek, such as operating heavy equipment, computer skills, fluency in language(s), etc. Knowledge of Florida Statutes, Administrative Rules, Procedures, and Case Law pertaining to the Department of Corrections and the Florida Parole Commission; Ability to analyze large amounts of data; Strong analytical skills; Proficiency in the use of the Microsoft Office software applications(i.e. Word, Excel, Power Point, Access, and Outlook) and the ' Offender Based Information System (OBIS); Ability to work effectively with people individually or in a team environment; Effective communication skills.
4 PERIODS OF EMPLOYMENT Describe all work experience in detail, beginning with your current or most recent job. Include military service (indicate rank), internships and job-related volunteer work, if applicable. Indicate number of employees supervised. Use a separate block to describe each position or gap in employment. If needed, attach additional sheets, using the same format as on the application. All information in this section must be completed. Resumes may be attached to provide additional information. Name of Present or Past Employer: South Calhoun Street Tallahassee FL Correctional Services Consult. Cyndi Becker 09/2007 Hours per Week: Develops, reviews and revises administrative rules, procedures, operational review standards, and technical manuals for the Bureau of Classification Management and related areas. Reviews legislation relating to the Bureau of Classification Management specifically and the Department of Corrections generally and prepares analyses if required. Evaluates the department's policies and procedures in classification areas to determine whether actions taken by institutional staff are consistent with the department's rules and policies and to identify, report and have corrected where errors are detected. Responds to telephonic, written and electronic inquiries from field staff, other agencies, public officials, victims, inmate family members, and the general public regarding agency rules and policies in the area of classification, both general and specific. Schedules and facilitates Classification Training sessions. Develops and implements automation to increase efficiency and accountability in the classification management of inmates. Researches and provides responses to the Bureau of Policy Management & Inmate Appeals for classification issues. Prepares documents and affidavits in response to petitions regarding classification issues filed by inmates in outside court when requested by the Office of the General Counsel. 40 (850) Name of Previous Employer: 2601 Blair Stone Road Tallahassee FL US Correctional Services Admin. Cyndi Becker (850) / /2007 Hours per Week: 40 Position located in the Bureau of Admission and Release. Supervised and directed subordinate staff in the research and preparation of legal affidavits and responses to inmate grievances challenging any aspect of the legal incarceration of the offender, i.e., sentence structure organization, release date calculations, gain-time eligibility, early release application, various case law application/eligibility and post release supervision violations. Provided daily guidance and direction to staff to conduct complete case reaudits ensuring all aspects of statutory mandates, legal advice and court decisions have been adhered to. Independently reviewed, researched and investigated subject matter and prepared affidavits for the department's legal staff to serve as evidence in department responses to inmate litigation as to any aspect of sentence structure or release date calculations. Responded directly to inmate grievances submitted as the central office level where the inmate challenges sentence structure organization, release date calculations, case law application, gain-time eligibility, early release application, etc. Responded to inquiries telephonically, via and letters from DOC field staff, attorneys, criminal justice officials, public officials, victims, inmate family members, and the general public on inmate sentence issues. To obtain experience in policy development
5 3 Name of Previous Employer: Asst Admission & Release Admin Tammy Budd (850) / /2007 Hours per Week: Position located in the Bureau of Admission and Release. Reviewed inmate cases for the establishment of lawful release dates ensuring application of appropriate case law and Florida Statutes; Processed court orders pertaining to inmate sentences; Prepared affidavits in regards to inmate sentence issues for DOC legal department; Responded to inmate administrative appeals pertaining to structure of sentences and calculation of release dates; Responded to inquiries telephonically, via and letters from DOC field staff, attorneys, criminal justice officials, public officials, victims, inmate family members, and the general public on inmate sentence issues. Responsibilities included supervising 1 professional and 1 clerical position. 40 Promotion 4 Name of Previous Employer: Correctional Serv Asst Consult Lee Adams (850) / /2004 Hours per Week: 40 Duties and Responsibilities Position located in the Bureau of Admission and Release. Reviewed inmate cases for the establishment of lawful release dates ensuring application of appropriate case law and Florida Statutes; Processed court orders pertaining to inmate sentences; Prepared affidavits in regards to inmate sentence issues for DOC legal department; Responded to inmate administrative appeals pertaining to structure of sentences and calculation of release dates; Responded to inquiries telephonically, via , and letters from DOC field staff, attorneys, criminal justice officials, public officials, victims, inmate family members, and the general public on inmate sentence issues. Promotion.
6 5 Name of Previous Employer: Management Analyst II Larry Myers (850) / /1998 Hours per Week: 40 Position located in the Office of Health Services. Was responsible for the compilation and analysis of data for the Monthly Workload & Utilization Report, which was a highly detailed statistical report containing monthly health services data extracted from the Offender Based Information System(OBIS); Assisted in the prepartion of the Monthly Baseline Staffing Report; Prepared other statistical reports as requested; Served as a liason with the Department's Office of Information Technology. Promotion. 6 Name of Previous Employer: Florida Parole Commission 2601 Blaistone Road Tallahassee FL US Parole Specialist David Roberts (850) / /1997 Hours per Week: 40 Evaluated and analyzed violation of supervision reports submitted by field staff for offenders under FPC jurisdiction; Drafted and prepared warrants for Commissioner review and signature; Prepared case analyses for Judicial Notices to the Courts; Reviewed Control & Conditional Release cases and prepared appropriate orders. Promotion
7 7 Name of Previous Employer: Florida Parole Commission Administrative Assistant II David Roberts (850) / /1996 Hours per Week: 40 Evaluated cases and responded to FPC & DOC field staff, attorneys, criminal justice officials, public officials, victims, inmate & releasee family members, and the general public in regards to inmates under FPC jurisdiction; Reviewed and evaluated offenders to be considered for Control Release and made appropriate recommendations; Participated in evaluating offenders for automatic restoration of Civil Rights as well as other special projects as directed. Agency Reorganization 8 Name of Previous Employer: Florida Parole Commission Admin Assist II / III Gene Hodges (850) / /1995 Hours per Week: 40 Served as the aide to a Florida Parole Commissioner; Evaluated and made recommendations in regards to offenders that were eligible for release from the state prison system; Reviewed Clemency cases and submitted recommendations accordingly; Participated in the drafting of Administrative Rules for programs administered by the FPC. Responded to inquiries telephonically, via and letters from FPC & DOC field staff, attorneys, criminal justice officials, public officials, victims, inmate & releasee family members, and the general public on FPC programs. Agency Reorganization
9 EXEMPTION FROM PUBLIC RECORDS DISCLOSURE ARE YOU A CURRENT OR FORMER LAW ENFORCEMENT OFFICER, OTHER COVERED EMPLOYEE**, OR THE SPOUSE OR CHILD OF ONE, WHOSE INFORMATION IS EXEMPT FROM PUBLIC RECORDS DISCLOSURE UNDER SECTION (4)(d), FLORIDA STATUTES (F.S.)?* **Other covered jobs include but are not limited to: correctional and correctional probation officers, firefighters, certain judges, assistant state attorneys, state attorneys, assistant and statewide prosecutors, personnel of the Department of Revenue or local governments whose responsibilities include revenue collection and enforcement or child support enforcement, and certain investigators in the Department of Children and Families [see F.S.]. BACKGROUND INFORMATION HAVE YOU EVER BEEN CONVICTED OF A FELONY OR A FIRST DEGREE MISDEMEAR?* If, what charges? Where? (City/State) Date: HAVE YOU EVER PLED LO CONTENDERE OR PLED GUILTY TO A CRIME WHICH IS A FELONY OR A FIRST DEGREE MISDEMEAR?* If, what charges? Where? (City/State) Date: HAVE YOU EVER HAD THE ADJUDICATION OF GUILT WITHELD FOR A CRIME WHICH IS A FELONY OR A FIRST DEGREE MISDEMEAR?* If, what charges? Where? (City/State) Date: TE: A answer to these questions will not automatically bar you from employment. The nature, job-relatedness, severity and date of the offense in relation to the position for which you are applying are considered [see , F.S.] CITIZENSHIP The state of Florida hires only U.S. citizens and lawfully authorized alien workers. You will be required to provide identification and either proof of citizenship or proof of authorization to work in the U.S. 1. ARE YOU A U.S. CITIZEN?* 2. IF, ARE YOU LEGALLY AUTHORIZED TO ACCEPT EMPLOYMENT WITH THE SPECIFIC HIRING AUTHORITY TO WHICH YOU ARE APPLYING?* RELATIVES TO YOUR KWLEDGE, DO YOU HAVE ANY RELATIVES WORKING IN THIS AGENCY?* SELECTIVE SERVICE SYSTEM REGISTRATION Section , Florida Statutes, prohibits employment by the State (including re-hire after a break in service) of any male born after October 1, 1962, who failed to register with the Selective Service System, under the provisions of the U.S. Military Selective Service Act, during the person's period of eligibility (ages 18 through 25). Additionally, if currently employed by the State, this law prohibits the promotion of such person. IF YOU ARE A MALE BORN ON OR AFTER OCTOBER 1, 1962, HAVE YOU REGISTERED WITH THE SELECTIVE SERVICE OR DO YOU HAVE PROOF OF AN EXEMPTION FROM THIS REQUIREMENT N/A (DOCUMENTATION MAY BE REQUIRED )?* CERTIFICATION I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to investigators, human resources staff, and other authorized employees of Florida state government for employment purposes. This consent shall continue to be effective during my employment if I am hired. I understand that applications submitted for state employment are public records. I certify that to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith. SIGNED ELECTRONICALLY BY: JEFFERY BRYAN 05/15/2015