City of Oakland
Employment Application
Exact title of position for which you are applying:
Human Resources Management
150 Frank H. Ogawa Plaza, 2
nd
Floor, Oakland, CA 94612-2021 (510) 238-3112 Relay Service 711 Web Site: www.oaklandca.gov
1. LAST NAME FIRST NAME
MI
EMAIL
DDRESS:
2. CURRENT ADDRESS NUMBER & STREET APT. NO.
CITY
STATE
ZIP CODE
3. HOME PHONE
4. BUS. PHONE
5. OTHER NAMES USED WHILE EMPLOYED BY THE CITY OF OAKLAND:
6. Do you have any known family relationships, consensual romantic, and/or cohabitant relationships
with any existing City Official, manager or employee? (which includes City Council, Mayor’s Office,
Administrator, Attorney, Auditors as well as employees of City Agencies and Departments).
Information concerning cohabitant and consensual romantic relationships will be treated as confidential and
disclosed only on a need-to-know basis.
Yes No If “yes” please indicate name of person
and relationship:
______________________________________________________________________
(Article IX, Sec. 907 of the City of Oakland Charter & Ordinance 12908)
7.
re You Now, OR Have You Ever, Been Employed By the City of
Oakland:
YES No
If “YES”: FROM/TO_____________________
Department / Class Title_______________________________________
____________________________________________________________
8. Type of employment that you will accept: Full Time
Part-Time
9.
Do you claim Oakland Residency Credit?
ES NO
(See CSB Rule 4.11)
10. US MILITARY To claim veteran’s preference points, you must present proof of honorable
discharge (DD214) when you file your application (person’s serving in auxiliary or reserve
components of the armed forces are not eligible). Veteran’s credit may be awarded in concert
with other credits. (See CSB Rule 4, Section 4.12 and 4.13)
11.
DO
OU CLAIM
ETERAN'S PREFERENCE?
YES NO
DATE AND BRANCH OF DISCHARGE
12. D
O YOU HAVE A HIGH SCHOOL DIPLOMA
OR
EQUIVALENT?
YES NO
13. NAME, CITY & STATE OF HIGH SCHOOL, COLLEGES/UNIVERSITIES
TTENDED
UNITS COMPLETED
SEMESTER QUARTER
COURSE OF
STUDY/MAJOR
TYPE OF DEGREE: COMPLETED:
YES NO
14. OTHER RELEVANT COURSES AND TRAINING NAME AND LOCATION OF INSTITUTION
LENGTH OF COURSE
ENDED
15. PROFESSIONAL LICENSE OR CERTIFICATE, IF REQUIRED CERTIFICATE NUMBER
DATE ISSUED
EXPIRATION DATE
16. LIST ANY FOREIGN LANGUAGES
OU CAN SPEAK, READ OR WRITE FLUENTLY
Language _____________________________ Speak ____ Read ____ Write ____
17. PLEASE INDICATE
ALID DRIVER'S LICENSE OR ID NUMBER, STATE, EXPIRATION DATE
18. DESIGNATE SKILLS, IF REQUIRED FOR THIS POSITION.
(Note: Testing of skills may be required prior to Typing Speed __________ wpm
or following selection.) Data Entry Speed ___________ wpm
FOR OFFICIAL USE ONLY
Approved
Education Experience
Disapproved Incomplete License
Met MQs/Scrnd CSB Rule 4.06
Late Other
(other)____________________________________
HRM Initials ________________ Date ______________________
19. NAME, ADDRESS AND PHONE NUMBER OF EMERGENCY CONTACT
N
AME PHONE
A
DDRESS CITY
Certificate of Applicant: I certify that all statements made in the application are true and I agree and understand
that misstatements or omissions of any material will subject me to disqualification or dismissal.
Signature:___________________________________________________ Date:__________________
The
City
of
Oakland complies with all Federal, State
and
local
laws
mandating Equal Employment Opportunities. If you feel you have been
treated unfairly or discriminated against because of race, color, religion,
national origin, ancestry, sex, gender, age, veteran status, disability,
marital status, or gender identity, or sexual orientation, please contact the
City's Equal Opportunity Programs Division at (510) 238-3500.
click to sign
signature
click to edit
![]()
