HOW DO WE CONTACT YOU? Radhika. 603 E. Call St. Apt. 930 Mailing Address* Tallahassee. Florida City* Leon.

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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 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: 03/2015 Position Number: Counties of Interest: Leon Minimum Acceptable Salary: $,000 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? Radhika First Name* Middle Name People First Employee ID Number (if any) 603 E. Call St. Apt. 930 Mailing Address* Tallahassee Florida City* State* Leon (270) County Phone Number* Address Puri Last Name* Zip Code* Alternate Phone Number NAME/LOCATION OF SCHOOL Peters Township 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 North Carolina Florida Coastal School of Law LOCATION DATES OF ATTENDANCE CREDIT HOURS EARNED FROM TO QTR SEM 08/ / / /2004 MAJOR / MIR COURSE OF STUDY POLS/ENGL Law TYPE OF DEGREE EARNED Bachelors Doctorate 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 Bar /2007 Florida Bar

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. I am proficient in microsoft Office, Westlaw, Lexis, Perfect Practice, and Software for Lawyers.

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 State of Florida - DBPR/OGC 19 N. Monroe St. Senior Attorney John Cary 07/ /2015 Determine probable cause Present reports to the council Draft Administrative Complaints and Closing Orders Present the agency's case at Informal Hearings Settlement Negotiations Research and analyze statutes Name of Previous Employer: State of Florida - DBPR/OGC 19 N. Monroe St. Assistant General Counsel Paul Waters/Kyle Christopher / /2013 Reviewing unlicensed construction cases. Drafting complainants, final orders, and closing orders. Representing DBPR/OGC at informal hearings.

5 3 Name of Previous Employer: Hudson Legal 129 W. Street, Charlotte, NC Reviewer Monica Corrum / /2012 Review documents for cases involving intellectual property, mezzanine loans, mergers and acquisitons, and complex civil litigation I found another job. 4 Name of Previous Employer: JustAnswer.com 36 Lincoln Blvd San Fransisco, CA Personal Injury Law Expert N/A / / Duties and Responsibilities Answer personal injury law questions pertaining to auto accidents, workers' compensation, Social Security Disability, libel, slander, and 1983 claims I found more document review work.

6 5 Name of Previous Employer: American Justice School of Law 4200 McCracken Blvd Paducah, KY Professor Paul Hendrick / /2008 Taught first-year courses and presented academic success workshops; Advised students who were having academic difficulties The school closed. 6 Name of Previous Employer: Unemployed 02/ /2009 After American Justice School of Law closed I was unemployed. At this time, I was looking for a job.

7 7 Name of Previous Employer: Law School 08/ /2005 There is a gap between 2001 and In 2001, I left the Law Offices of Robert Donat to attend Florida Coastal School of Law. I graduated in After this, I had to take care of personal matters and I was looking for a job. 8 Name of Previous Employer: The Law Offices of Robert 7810 Ballantyne Commons Pkwy Charlotte, NC Paralegal Robert Donat / /2001 Donat,, Prepared complaints and motions; Met with clients; Prepared settlement brochures; Prepared immigration forms and supporting documentation; Drafted discovery requests; Prepared responses to discovery I went to law school.

8 9 Name of Previous Employer: Charles G. Monnett, III & Associates Address 6842 Morrison Blvd Suite 100 Charlotte, NC Paralegal Charles Monnett Phone No: / /2001 Prepared complaints and motions; Prepared interrogatories and requests for production; Prepared responses to interrogatories and requests for production; Prepared settlement brochures; Negotiated with insurance adjusters I found another job. 10 Name of Previous Employer: Johnson & Donat 250 N. Trade St. Matthews, NC Assistant Jon Johnson / /1999 Researched immigration issues; Prepared immigration forms and supporting documentation; Typing. I found another job.

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: Radhika Puri 05/15/2015

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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