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HomeMy WebLinkAboutPlanning Commission - Brian WorthingtonEMPLOYMENT APPLICATION CITY OF DIAMOND BAR 21810 Copley Drive Diamond Bar, California 91765 909-839-7000 http://diamondbarca.gov Worthington, Brian 2025-0001 CITY COMMISSIONER Received: 1/15/25 3:44 PM For Official Use Only: QUAL:_________ DNQ:__________ Experience Training Other:______ PERSONAL INFORMATION POSITION TITLE: CITY COMMISSIONER EXAM ID#: 2025-0001 NAME:(Last, First, Middle) Worthington, Brian SOCIAL SECURITY NUMBER: N/A ADDRESS:(Street, City, State/Province, Zip/Postal Code) EMAIL ADDRESS: bw91765@gmail.com HOME PHONE: 714-316-9448 DRIVER'S LICENSE: Yes No : State:CA Number: LEGAL RIGHT TO WORK IN THE UNITED STATES? Yes No What is your highest level of education? Master's Degree PREFERENCES ARE YOU WILLING TO RELOCATE? Yes No Maybe WHAT TYPE OF JOB ARE YOU LOOKING FOR? Regular TYPES OF WORK YOU WILL ACCEPT: Part Time SHIFTS YOU WILL ACCEPT: Night,Weekends OBJECTIVE: I am seeking a position on the planning commission for the City of Diamond Bar. If not the planning commission, then the traffic commission, or return to the Parks commission EDUCATION DATES:SCHOOL NAME: San Diego State University LOCATION:(City, State/Province) San Diego , California DID YOU GRADUATE? Yes No DEGREE RECEIVED: Bachelor's MAJOR: Business Administration DATES:SCHOOL NAME: National University LOCATION:(City, State/Province) San Diego , California DID YOU GRADUATE? Yes No DEGREE RECEIVED: Master's MAJOR: Business Administration WORK EXPERIENCE DATES: From: 1/2016 To: Present EMPLOYER: Byram Healthcare POSITION TITLE: SVP ADDRESS:(Street, City, State/Province, Zip/Postal Code) PHONE NUMBER: MAY WE CONTACT THIS EMPLOYER? Yes No HOURS PER WEEK: 40 # OF EMPLOYEES SUPERVISED: 10 DUTIES: Part of the senior leadership team delivering healthcare services and supplies. DATES: From: 1/2008 To: Present EMPLOYER: Health & Wealth POSITION TITLE: Owner ADDRESS:(Street, City, State/Province, Zip/Postal Code) PHONE NUMBER: MAY WE CONTACT THIS EMPLOYER? Yes No Brian Worthington Person ID: 52428671 Received: 1/15/25 3:44 PM HOURS PER WEEK: 5 # OF EMPLOYEES SUPERVISED: 0 DUTIES: Healthcare consulting firm specializing in health plan contracting CERTIFICATES AND LICENSES Nothing Entered For This Section Skills Nothing Entered For This Section ADDITIONAL INFORMATION Volunteer Experience United Cerebral Palsy Foundation - Volunteer, City of Hope Breast Cancer Awareness - Volunteer, Prostate Cancer Foundation - Volunteer REFERENCES REFERENCE TYPE: Personal NAME: Aaron Salo POSITION: City of Diamond Bar - Parks & Recreation Commissioner ADDRESS:(Street, City, State/Province, Zip/Postal Code) Diamond Bar, California 91765 EMAIL ADDRESS:PHONE NUMBER: REFERENCE TYPE: Personal NAME: Michael Ramirez POSITION: City of Diamond Bar - GPAC commissioner, DB Community Foundation - Board Member ADDRESS:(Street, City, State/Province, Zip/Postal Code) Diamond Bar, California 91765 EMAIL ADDRESS:PHONE NUMBER: REFERENCE TYPE: Personal NAME: Gil Rivera POSITION: Realtor in Diamond Bar, City of Diamond Bar - GPAC Commissioner ADDRESS:(Street, City, State/Province, Zip/Postal Code) Diamond Bar, California 91765 EMAIL ADDRESS:PHONE NUMBER: REFERENCE TYPE: Personal NAME: Julie Lagos POSITION: Parent of the Year - Maple Hill School in Diamond Bar ADDRESS:(Street, City, State/Province, Zip/Postal Code) Diamond Bar, California 91765 EMAIL ADDRESS:PHONE NUMBER: Brian Worthington Person ID: 52428671 Received: 1/15/25 3:44 PM Agency-Wide Questions 1. How did you learn about this employment opportunity? City Website 2. Do you have any relatives working for the City of Diamond Bar? No 3. If yes, please provide your relative's name, department and relationship to you. 4. Have you ever worked for the City of Diamond Bar? No 5. Are you, or have you ever been, a member of the California Public Employees' Retirement System (CalPERS)? No Brian Worthington Person ID: 52428671 Received: 1/15/25 3:44 PM Job Specific Supplemental Questions 1.City Commission meetings are typically in the evenings on Tuesday or Thursday at 6:30pm, one to two times per month. Are there any evenings during the week that you are unavailable? If so, which days? No day restrictions 2. Which City Commission are you interested in serving? Planning 3. Why are you interested in being a Commissioner for the City of Diamond Bar? I have lived in Diamond Bar since 1996 and want to help keep our city the best it can be. 4. What makes you uniquely qualified to serve on a City Commission? I am serving on committees today: (1) Current - Commissioner, Parks & Recreation for Diamond Bar (2) Current - Commissioner, PUSD Bond Oversight Committee (3) Past - Vice Chair, General Plan for Diamond Bar 5.What additional information would you like to share with the City Council about your qualifications for the City Commissioner position? I am an executive in the healthcare industry and am responsible for $1.3B in annual revenue. The following terms were accepted by the applicant upon submitting the online application: By clicking on the 'Accept' button, I hereby certify that every statement I have made in this employment application is true, complete and correct to the best of my knowledge. I understand that statements made on this employment application are subject to verification and that any false, incomplete or omission of material facts may be grounds to deny City employment or for disciplinary action including and up to termination after employment. I understand that I may be required to verify any and all information given on this application. I understand that this completed employment application is the property of City of Diamond Bar and will not be returned. I understand that I must update my employment application with any changes to my name, address, email or phone number. I understand that I will have to produce documentation verifying identity and employment eligibility in the U.S. following a conditional offer of employment. I understand that this application does not constitute an expressed or implied contract. This application was submitted by Brian Worthington on 1/15/25 3:44 PM Brian Worthington Person ID: 52428671 Received: 1/15/25 3:44 PM