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Revised 4.3.2014
Education and Training
Name of School and Location
List all languages that you speak:
Licenses – list all valid licenses & CDL Endorsements.
Commercial Driver License – Class A
Commercial Driver License – Class B
Commercial Driver License – Class C
Hoisting Engineer – Hydraulic Crane
Hoisting Engineer – Payloader/Backhoe
Hoisting Engineer (other)
Typing Skills
Typing proficiency of 42 wpm or more.
Typing proficiency of 60 wpm or more.
Other (please indicate wpm)
Professional Organizations and Certifications
List any job-related organizations of which you are a member and list any professional certifications you possess.
Applicant’s Certification of Agreement
I agree that the information in this application is true and complete to the best of my knowledge. The City of Providence
is hereby authorized to investigate my prior education and work history as indicated above.
THE CITY OF PROVIDENCE IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
Applicant Signature Date
Do not write below this line. Department of Human Resources Use Only
Date Received: ______
Department Hire Date:
City Hire Date: ______