Applications will be processed ONLY for classifications where an examination is

STATE OF CALIFORNIA STATE PERSONNEL BOARD

in progress and the published final filing date has not passed, or for vacant

EXAMINATION AND/OR

positions where a department requests an application.

EMPLOYMENT APPLICATION

STD. 678 (REV. 12/2001) Page 1 PRINT OR TYPE PLEASE SEE INSTRUCTIONS ON BACK PAGE

APPLICANT'S NAME (Last) (First) (M.I.) SOCIAL SECURITY NUMBER

Robert E

Reichert ***-**-****

MAILING ADDRESS (Number) (Street) E-MAIL ADDRESS WORK TELEPHONE NUMBER

9908 Jasper Ct acf50e@r.postjobfree.com 916-***-****

(City) (County) (Stale) (Zip Code) HOME TELEPHONE NUMBER

95829

Sacramento Sacramento CA 916-***-****

EXAMINATION(S) OR JOB TITLE(S) FOR WHICH YOU ARE APPLYING PERSONNEL

USE ONLY

FOR SPOT EXAMINATIONS, ENTER THE LOCATION WHERE YOU WISH TO WORK

ANSWER THE FOLLOWING QUESTIONS: (Answer questions 8, 9, 10, and/or 11 only If the examination indicates they are required.)

1. Enter the county in which you would like to take the

examination if different from the county of your residence:

2. Do you need reasonable accommodation to take an interview or written test? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO

3. Do your religious beliefs prevent you from taking an examination on Saturday? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO

4. Are you now employed by the State of California? (If "YES", fill in the information below.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO

Department: Subdivision:

5. Have you ever been dismissed or terminated from any position for performance or other disciplinary reasons? (Applican ts Y ES NO

whose dismissals or terminations were overturned, withdrawn [unilaterally or as part of a settlement] or revoked need not

answer "Yes".) If "Yes" to Question #5, give details in Item #12, and refer to the Instructions for further information.

6. In addition to English, list any other languages you:

a. possess verbal fluency in

b. possess written fluency in

7. I certify I can type at a speed of words per minute. (For typing applicants only.)

(Answer Questions 8, 9, 10, and/or 11 ONLY if the examination indicates they are required.)

8. Do you meet the minimum and/or maximum age requirements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y ES NO

9. Do you possess a valid California Driver License? (If "YES", fill in the information b e l o w . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y ES NO

License # Class: Restrictions:

Y ES

10. Have you ever been convicted by any court of a misdemeanor crime of domestic violence? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO

11. Have you ever been convicted by any court of a felony? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y ES NO

12. EXPLANATIONS

CERTIFICATION--IMPORTANT--PLEASE READ BEFORE SIGNING--lf not signed, this application may be rejected.

I certify under penalty of perjury that the information I have entered on this application is true and complete to the best of my knowledge. I further

understand that any false, incomplete, or incorrect statements may result in my disqualification from the examination process or dismissal from employment with

the State of California. I authorize the employers and educational institutions identified on this application to release any information they may have concerning

my employment or education to the State of California.

APPLICANT'S SIGNATURE DATE SIGNED

APPLICANTS--DO NOT USE THE SPACE BELOW--FOR PERSONNEL USE ONLY

C lasses **-**-**-**-**-** Flags FOR PERSONNEL USE ONLY

WC for Series

STATUS

WC

RC/Flag for Series ACCEPTED REJECTED WC

EXPERIENCE LICENSE REQUIREMENT

EDUCATION OTHER

CODES

STAFF DATE PROCESSED

STATE OF CALIFORNIA STATE PERSONNEL BOARD

EXAMINATION AND/OR

EMPLOYMENT APPLICATION

STD. 678 (REV. 12/2001) Page 2

APPLICANT'S NAME (Last) (First) (M.I.) SOCIAL SECURITY NUMBER

Robert ***-**-****

Reichert E

13. EDUCATION

DID YOU GRADUATE FROM HIGH SCHOOL? IF NOT, DO YOU POSSESS A GED OR EQUIVALENT? IF NOT, ENTER THE HIGHEST GRADE YOU COMPLETED

YES NO YES NO

U NIVERSITY OR COLLEGE--NAME AND LOCATION, DIPLOMA, DEGREE OR DATE

UNITS COMPLETED

BUSINESS, CORRESPONDENCE, TRADE OR COURSE OF STUDY

CERTIFICATE OBTAINED COMPLETED

SERVICE SCHOOL SEMESTER QUARTER

Business 60 AA 05/1984

American River College

Business 60 BA 05/1988

CSUS; Sacramento, CA

Project Mgmt. 33

Keller Graduate School of Mgmt.

14. LIST BELOW VALID LICENSES, CERTIFICATES OF PROFESSIONAL OR VOCATIONAL COMPETENCE, OR MEMBERSHIP IN PROFESSIONAL ASSOCIATIONS CALLED

FOR IN THIS EXAMINATION ANNOUNCEMENT. (If you are an attorney, please include first Bar date with license Information if the examination announcement requires it.)

EXPIRATION

DATE ADMITTED IN THE SPACE BELOW, INDICATE SPECIFIC COURSE REQUIREMENTS NEEDED TO SATISFY

LICENSE/CERTIFICATION NUMBER

TO THE BAR DATE REQUIREMENTS FOR THIS EXAMINATION

15. EMPLOYMENT HISTORY Begin with your most recent job. List each Job separately.

FROM ( M/D/Y) TO (M/D/Y) TITLE/ JOB CLASSIFICATION (Include Range or Level, if applicable)

08/01/2007 Staff Programmer Analyst

12/22/2011

H OURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR

Franchise Tax Board Denise Siverling

40 4 yrs, 3 mon.

PER ADDRESS

SALARY EARNED

Month 9646 Butterfield Way, Sacrmaneto, CA 95827

6664

$

DUTIES PERFORMED

Work with Departmental personnel to maintain PC applications to automate labor intensive

administrative processes in order to increase the effectiveness and efficiency of the Department’s

programs. Develop PC programs to automate processes using available computer equipment and

software. Train personnel in new technology. Mentor co-workers to help them develop their

programming skills.

REASON FOR LEAVING

FROM ( M/D/Y) TO (M/D/Y) TITLE/ JOB CLASSIFICATION (Include Range or Level, if applicable)

05/01/2006 Staff Information Systems Analyst

08/01/2007

H OURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR

Franchise Tax Board Juanita Roth

40 1 yr, 3 mon

SALARY EARNED PER ADDRESS

Month 9646 Butterfield Way, Sacrmaneto, CA 95827

6664

$

DUTIES PERFORMED

Review and implement proposed development environments. Assist in the administration and oversight of all software system

configurations and environments. Provide guidance, training and assistance to the team on VSS and SCM procedures.

Perform QA on work done as described in service releases. Ensure a qualify test environment. Facilitate communication and

coordination with all Distributed Systems Software /Section (DSSS), Server Management Group (SMG), testing and

development team members. Evaluate/manage environment change requests. Implement/maintain application

security/access. Maintain active directory security group memberships as appropriate. Evaluate new technologies/tools for

application development and maintenance Implement industry and Enterprise best-practices for application manageability,

performance and security. Participate in cross-functional task forces to develop/establish Enterprise IT policy.

REASON FOR LEAVING

STATE OF CALIFORNIA STATE PERSONNEL BOARD

EXAMINATION AND/OR

EMPLOYMENT APPLICATION

STD. 678 (REV. 12/2001) Page 3

APPLICANT'S NAME (Last) (First) (M.I.) SOCIAL SECURITY NUMBER

***-**-****

Reichert Robert E

15. EMPLOYMENT HISTORY (Continued)

FROM ( M/D/Y) TO (M/D/Y) TITLE/ JOB CLASSIFICATION (Include Range or Level, if applicable)

05/01/2004 Staff Information Systems Analyst (Lead)

05/01/2006

H OURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR

Franchise Tax Board Bill Short

40 2 yrs.

PER ADDRESS

SALARY EARNED

Month 9646 Butterfield Way, Sacrmaneto, CA 95827

6354

$

DUTIES PERFORMED

Perform system configuration, system migration/promotion, version control, and participate in and coordinate with system change release

and backup and recovery processes. Create and update .COM object MSI files for TImePortal application. Provide application system

administration leadership on departmental E-Employee systems using Web based application development technology. Lead, mentor,

and train developers in the system administration standards and procedures. Provide technical support and coordination between

developer and technical staff in other organizations. Research and recommend best IT practices and standards for application

development. Coordinate testing effort with developers for software and hardware upgrades. Provide feedback, communicate outcome

with bureau’s management and staff. Generate and evaluate alternative proposals using technologies to resolve critical problems and

recommend optimal solutions to developer, leads, and management. Provide written and oral communication between management,

system architect, and staff in other units (this communication includes the preparation of written and oral reports).

REASON FOR LEAVING

FROM ( M/D/Y) TO (M/D/Y) TITLE/ JOB CLASSIFICATION (Include Range or Level, if applicable)

05/01/2003 Staff Information Systems Analyst

05/01/2004

H OURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR

Franchise Tax Board Bill Short

40 1 yr

SALARY EARNED PER ADDRESS

Month 9646 Butterfield Way, Sacrmaneto, CA 95827

6354

$

DUTIES PERFORMED

Perform support in maintenance and expansion of e-Employee Administrative & Systems Development Section (EASDS). Mentor programmers and

provide training and guidance in support of administrative systems. Coordinate the coding, unit test, system test, and installation of administrative

applications. Develop work plans for technical/application programming staff and monitor project activities. Coordinate the resolution of all system

problems and implementation of change processes for the administrative application. Ensure that changes are planned, communicated, tested and

implemented as scheduled. Ensure systems are properly documented and procedures are followed. Propose application design solutions to meet

programmer or administrative system requirements. Code the more complex computer programs for web-based LAN Mainframe or desk top

applications from specifications developed independently. Participate as a team member in meetings and discussions to determine future development

opportunities and technical capabilities. Represent EASDS in meetings; communicate effectively and tactfully with clients and colleagues. Act as a

consultant to clients and other staff for desired changes to the system. Assist business staff in the department proposing solutions which are associated

with e-Employee projects of a technical nature. Perform support in maintenance and expansion of the existing systems.

REASON FOR LEAVING

FROM ( M/D/Y) TO (M/D/Y) TITLE/ JOB CLASSIFICATION (Include Range or Level, if applicable)

Staff Information Systems Analyst

01/01/2001 05/01/2004

H OURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR

Franchise Tax Board Lyle Stewart

40 3 yrs 4 mon.

PER ADDRESS

SALARY EARNED

9646 Butterfield Way, Sacrmaneto, CA 95827

Month

6354

$

DUTIES PERFORMED

Provide training to CARA Helpdesk. Work with Section Manager and unit supervisors to determine

training needs. Prepare training material and present to help desk personnel. Act as “Super-Tech”

for help desk. Research new technology and present to Section Manager and unit supervisors.

Work with Microsoft FrontPage, Macromedia Flash, and other software applications to develop web

pages for the division.

REASON FOR LEAVING

STATE OF CALIFORNIA STATE PERSONNEL BOARD

EXAMINATION AND/OR

EMPLOYMENT APPLICATION

STD. 678 (REV. 12/2001) Page 4

APPLICANT'S NAME (Last) (First) (M.I.) SOCIAL SECURITY NUMBER

***-**-****

Reichert Robert E

15. EMPLOYMENT HISTORY (Continued)

FROM ( M/D/Y) TO (M/D/Y) TITLE/ JOB CLASSIFICATION (Include Range or Level, if applicable)

01/01/2000 Staff Information Systems Analyst

01/01/2001

H OURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR

Franchise Tax Board Bill Short

40 1 yrs.

PER ADDRESS

SALARY EARNED

Month

4348 9646 Butterfield Way, Sacrmaneto, CA 95827

$

DUTIES PERFORMED

Work with Bureau personnel to maintain and install PCs and associated software. Work as a lead in

training and assisting unit personnel. Create user accounts in both the Windows NT environment

and the Novell networking environment. Coordinate with various help desks for the transfer of

accounts form one server to another. Network liaison between CARA branch help desk and DSSS

Network Support. Install servers in various District Offices and maintain network resources for Cara

branch.

REASON FOR LEAVING

FROM ( M/D/Y) TO (M/D/Y) TITLE/ JOB CLASSIFICATION (Include Range or Level, if applicable)

03/01/1997 Associate Information Systems Analyst

01/01/2000

H OURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR

Franchise Tax Board Bill Short

40 2 yrs, 10 mons.

PER ADDRESS

SALARY EARNED

Month 9646 Butterfield Way, Sacrmaneto, CA 95827

3840

$

DUTIES PERFORMED

Work with Bureau personnel to maintain and install PCs and associated software. Work as a lead in

training and assisting unit personnel. Create user accounts in both the Windows NT environment and the

Novell networking environment. Coordinate with various help desks for the transfer of accounts form one

server to another. Install all department software. Develop PC programs to automate processes suing

available computer equipment and software. Interact with all levels of collection program management,

keeping them informed of new technology. Monitor new computer technology and communicate develops

to the Collection Bureau manager.

REASON FOR LEAVING

FROM ( M/D/Y) TO (M/D/Y) TITLE/ JOB CLASSIFICATION (Include Range or Level, if applicable)

03/01/1994 Associate Operations Specialist

03/01/1997

H OURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR

Franchise Tax Board Bill Short

40 3 yrs

PER ADDRESS

SALARY EARNED

Month 9646 Butterfield Way, Sacrmaneto, CA 95827

3840

$

DUTIES PERFORMED

Work with Bureau personnel to maintain and install PCs and associated software. Work as a lead in training and assisting unit

personnel. Create user accounts in both the Windows NT environment and the Novell networking environment. Coordinate with

various help desks for the transfer of accounts form one server to another. Install all department software. Develop PC programs

to automate processes suing available computer equipment and software. Interact with all levels of collection program

management, keeping them informed of new technology. Work with taxpayers to resolve delinquent tax issues. Prove assistance

to taxpayers to ensure compliance with tax laws, collect delinquent taxes and perform a variety of compliance and coll4ection

functions. Use various tools such as CBR’s, collection tools, DMV and EDD access to locate taxpayers and bring them into

compliance. Communicate both verbally and in writing with taxpay3rs, businesses, banks and other state agencies.

REASON FOR LEAVING

STATE OF CALIFORNIA STATE PERSONNEL BOARD

EXAMINATION AND/OR

EMPLOYMENT APPLICATION

STD. 678 (REV. 12/2001) Page 5

EQUAL EMPLOYMENT OPPORTUNITY

(For Examination Use Only)

APPLICANT: T o assist the State of California in its commitment to Equal Employment Opportunity, applicants are asked to voluntarily

provide the following information. This questionnaire will be separated from the application prior to the examination and will not be used in

any employment decisions. Government Code Section 19705 authorizes the State Personnel Board to retain this information for research

and statistical purposes.

SOCIAL SECURITY NUMBER

***-**-****

AGE GENDER

(1) UNDER 21 (3) 21 - 39 (6) 40 - 69 (7) 70 AND OVER MALE FEMALE

Ethnic Category (Please check the box that best describes your race/ethnicity.):

( 7)

A MERICAN INDIAN OR ALASKAN NATIVE-- Persons having origins in any of the tribal peoples of North America, and who maintain cultural identification through

tribal affiliation or community recognition.

ENTER TRIBAL IDENTIFICATION OR AFFILIATION

( 2)

A SIAN-- Persons having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent. This includes China, Japan, and Korea.

( 1)

B LACK-- Persons having origins in any of the black racial groups of Africa.

( 8)

F ILIPINO-- Persons having origins in any of the original peoples of the Philippine Islands.

( 4)

H ISPANIC-- Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.

( 6)

P ACIFIC ISLANDERS-- Persons having origins in the Pacific Islands, such as Samoa.

( 5)

W HITE-- Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.

C heck if:

(3)

OTHER (Specify)

( Y)

D ISABLED - - A person with a disability is an individual who: (1) has a physical or mental impairment or medical condition that limits one or more life activities, such as

walking, speaking, breathing, performing manual tasks, seeing, hearing, learning, caring for oneself or working; (2) has a record or history of such impairment or

medical condition; or (3) is regarded as having such an impairment or medical condition.

M ILITARY-- A military veteran; a widow or widower of a veteran; or a spouse of a 100% disabled veteran.

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