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HomeMy WebLinkAboutPlanning Commission - Surendra MehtaEMPLOYMENT APPLICATION CITY OF DIAMOND BAR 21810 Copley Drive Diamond Bar, California 91765 909-839-7000 http://diamondbarca.gov Mehta, Surendra P. 2025-0001 CITY COMMISSIONER Received: 1/22/25 7:43 AM For Official Use Only: QUAL:_________ DNQ:__________ Experience Training Other:______ PERSONAL INFORMATION POSITION TITLE: CITY COMMISSIONER EXAM ID#: 2025-0001 NAME:(Last, First, Middle) Mehta, Surendra P. SOCIAL SECURITY NUMBER: N/A ADDRESS:(Street, City, State/Province, Zip/Postal Code) EMAIL ADDRESS: yogateacherusa@gmail.com HOME PHONE: : Yes No DRIVER'S LICENSE: 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: Per Diem SHIFTS YOU WILL ACCEPT: Day,Evening,On Call (as needed) OBJECTIVE: To serve the City of Diamond Bar as Commisioner EDUCATION DATES:SCHOOL NAME: West Coast University/ UCLA-The Executive Program in Management LOCATION:(City, State/Province) Los Angeles , California DID YOU GRADUATE? Yes No DEGREE RECEIVED: Master's MAJOR: Financial Management & Production Systems WORK EXPERIENCE Nothing Entered For This Section CERTIFICATES AND LICENSES Nothing Entered For This Section Skills Nothing Entered For This Section ADDITIONAL INFORMATION Miscellaneous Board Member - Diamond Bar Community Foundation Board Member - Lincoln Training Center a 501 c3 Organization Volunteer - Various Senior, Service and Religeous Organizations Past President - Arya Samaj of Southern California (Vedic Temple) 501 c3 organization Traffic and Transportation Commissioner - City of Diamond Bar Volunteer - Fundraising project for Diamond Bar Center Former Rotarian Certified Yoga Therapist, C-IAYT Corporate Executive, Marketing and Technical, for an international Company, over 25 years Retired Business Owner REFERENCES Surendra Mehta Person ID: 60991625 Received: 1/22/25 7:43 AM REFERENCE TYPE: Personal NAME: Rajesh (Roger) Sharma POSITION: CEO ADDRESS:(Street, City, State/Province, Zip/Postal Code) Emenate Health, 210 West San Bernardino Road, Covina, California 91765 EMAIL ADDRESS:PHONE NUMBER: ( REFERENCE TYPE: Professional NAME: Manuel Baca POSITION: Past President Board of Trustees - Mount San Antonio College ADDRESS:(Street, City, State/Province, Zip/Postal Code) Mount San Antonio College, 1100 N Grand Ave, Walnut, California 91789 EMAIL ADDRESS:PHONE NUMBER: Surendra Mehta Person ID: 60991625 Received: 1/22/25 7:43 AM 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 Surendra Mehta Person ID: 60991625 Received: 1/22/25 7:43 AM 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. 2. Which City Commission are you interested in serving? All of the above 3. Why are you interested in being a Commissioner for the City of Diamond Bar? I want to serve the Diamond Bar community and make it a safe and dynamic place to live 4. What makes you uniquely qualified to serve on a City Commission? I have been serving the community by volunteering and teaching health and wellness subjects. In 2014 I was recognised by County of Los Angeles for the outstanding volunteer service rendered to the community of Diamond Bar, on Older Americans Recognition Day 5.What additional information would you like to share with the City Council about your qualifications for the City Commissioner position? Presently serving as a one of the Commissioner for the City of Diamond Bar. Ability to analyse and improve the systems through my educational training and experience. 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 Surendra P. Mehta on 1/22/25 7:43 AM Surendra Mehta Person ID: 60991625 Received: 1/22/25 7:43 AM