Fillable City of Oakland Local Construction Employment Referral Program Consent Form

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City of Oakland Local Construction Employment Referral Program Consent Form

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Office of the City Administrator, Local Construction Employment Referral Program
250 Frank H. Ogawa Plaza, Suite 3341
Phone: 510-238-7359 Fax: 510-238-3363 Email: cces@oaklandnet.com
Office of the City Administrator Contracts and Compliance Division
Local Construction Employment Referral Program (LCERP)
Consent Form
I _____________________________________________
(Print applicant’s name)
Social Security Number
Give my consent to past and present employers to furnish the City of Oakland’s Local
Construction Employment Referral Program information regarding my employment
history.
I further authorize the City of Oakland’s Local Construction Employment Program to
share this information with other employment resources within Oakland and other
employment opportunities resources.
Privacy Act of 1974 (5U.S.C.552A)
_________________________ ________________________
Applicant’s Signature Date
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City of Oakland Local Construction Employment Referral Program Consent Form

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Completed 8 March 2020

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