If Service Center determines elig bility for a different VP category than claimed Not Set

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1 Layoff Status: No VP Category Claimed: None of the Above People First Eligible VP Category (if different): If Service Center determines elig bility for a different VP category than claimed Not Set Agency Final VP Eligibility Review: Not Set Agency Final VP Category Determination: Not Set Current Employee of Agency: No Florida Resident (A)?: Not Set Previous Promotional Appointment: No # Question Response Desired Answer Screen-In Question? Screen-out Edit Name Type Language File Size (bytes) Date Uploaded Comments Delete JobApplicationForm.pdf Online Application Form English /20/2015

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: 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: immediate Position Number: Counties of Interest: Any Minimum Acceptable Salary: $125, anually 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? Lawrence Nicholas Cavallaro First Name* Middle Name Last Name* People First Employee ID Number (if any) s (2)(d) F.S. Mailing Address* s (4)(d)2.a.(I) F.S. City* United States County s (4)(d)2.a.(I) F.S. Address State* Zip Code* s (4)(d)2.a.(I) F.S. Phone Number* Alternate Phone Number NAME/LOCATION OF SCHOOL Mount Saint Michael Academy DIPLOMA RECEIVED: Yes YOUR NAME, IF DIFFERENT WHILE ATTENDING SCHOOL: COLLEGE, UNIVERSITY OR PROFESSIONAL SCHOOL: (TRANSCRIPTS MAY BE REQUIRED) NAME OF SCHOOL Polk State College Warner University LOCATION Winter Haven, Florida Lake Wales, Florida DATES OF ATTENDANCE CREDIT HOURS EARNED FROM TO QTR SEM 06/ / / / MAJOR / MIR COURSE OF STUDY Liberal Arts Organizational TYPE OF DEGREE EARNED Associates Bachelors Warner University Lake Wales, Florida 03/ / Business Masters 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 Concealed Firearm WR / /2019 Florida

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 Florida State University Tallahassee 04/ / CPM Yes 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. I have extensive law enforcement experience with over 35 years of experience in patrol investigations, major investigations, line supervision, mid management supervision and administrive management. I have been an emergency manager in Puble Safety and have had the opportunity to oversee both police,, fire rescue, codes and building departments. I also have experience with running a full service municaplity at the time that the City had serious financial problems and brought them out of the red and returned them to a solverant organization in a period of 90 days. I am an excellent change agent and take pride in working with employees to improve the effectiveness and efficentcy on the organization. I am the first one there and the last one to leave and do not expect anyone to take on a task that I myself would not be willing to embrace. my opinion is that good leadership is the key to success any that you would be surprised where you can find good leadership if you know and work with your people.

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: 1 Mississippi Gulf Coast Community College 2300 Highway 90, Gautier, Mississippi Chief of Campus Police Dean Tammy Franks / Duties and Responsibilities: I am responsible for that day to day Public Safety operations of a significant size community College. Florida is my home and that is where I would prefer to be 2 Name of Previous Employer: Quest Unlimited P. O. Box Director of Investigative Opts Ira Bryant Duties and Responsibilities: 05/ / I was responsible for overseeing the investigative operations of two significant size personal injury law firms with offices in Lakeland, Winter Haven, Orlando, Tampa and Jacksonville Returned to Law Enforcement

5 3 Name of Previous Employer: City of Mulberry 101 East Canal Street, Mulberry, Fl Public Safety Director Frank Thomas/Sharon Lauther Duties and Responsibilities: 07/ / During my tenure with the City of Mulberry I was the Police Chief, Public Safety Director and Acting City Manager. My responsibility range was the day the day operations of the Police Department to the day to day operations of all departments in a full service municipality. City was experiencing financial difficulty due to the economy crash that started in Name of Previous Employer: Duties and Responsibilities

6 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 (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: Lawrence Cavallaro 05/20/2015

HOW DO WE CONTACT YOU? James. County. s. 119.071(4)(d)2.a.(I) F.S. E-Mail Address DIPLOMA RECEIVED: DATES OF ATTENDANCE (MM/YYYY) 04/2014 04/2017

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