Page 70 - SAC - DPW - AMB 09 05 19

EMPLOYMENT APPLICATION
CITY OF SACRAMENTO Received: __________________
915 I Street, Historic City Hall
Sacramento, California 95814-2604
(916) 808-5726
https://www.cityofsacramento.org/HR

QUESTIONS WITH AN * REQUIRE A RESPONSE. YOUR APPLICATION MAY NOT BE CONSIDERED IF INCOMPLETE.
JOB INFORMATION
Public Works Director
* JOB POSTING NUMBER: * POSITION TITLE:

PERSONAL INFORMATION
* FIRST NAME MIDDLE INITIAL * LAST NAME
Mohammad H. Alimi
* ADDRESS
10379 N. Pierpont Circle
* CITY * STATE * ZIP
Fresno CA 93730

HOME PHONE ALTERNATE PHONE
(559) 433-9789 (559) 281-9354
* WHICH METHOD DO YOU PREFER TO BE NOTIFIED ABOUT YOUR
* EMAIL ADDRESS
malimi@att.net APPLICATION STATUS? EMAIL OR PAPER

EDUCATION

WHAT IS YOUR HIGHEST LEVEL OF EDUCATION:
Some High School Some College Associate’s Degree Master’s Degree
High School Technical College Bachelor’s Degree Doctorate

LEGAL RIGHT TO WORK
CAN YOU, AFTER EMPLOYMENT, SUBMIT PROOF OF YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES? YES NO

EDUCATION
SCHOOL NAME DEGREE RECEIVED
Univ. of Alabama Ph.D.
SEMESTER QUARTER
SCHOOL LOCATION (CITY/STATE) DID YOU GRADUATE?
Tuscaloosa, AL YES NO # OF UNITS COMPLETED:
70
MAJOR
Engineering and Applied Mechanics

SCHOOL NAME DEGREE RECEIVED
Univ. of Alabama M.S.
SEMESTER QUARTER
SCHOOL LOCATION (CITY/STATE) DID YOU GRADUATE?
Tuscaloosa, AL YES NO # OF UNITS COMPLETED:
36
MAJOR
Civil Engineering - Structures

SCHOOL NAME DEGREE RECEIVED
Univ. of Alabama B.S
SEMESTER QUARTER
SCHOOL LOCATION (CITY/STATE) DID YOU GRADUATE?
Tuscaloosa, AL YES NO # OF UNITS COMPLETED:
149
MAJOR
Civil Engineering

DRIVER’S LICENSE INFORMATION
STATE WHERE
* IF THE POSITION INVOLVES DRIVING, DO YOU HAVE A VALID LICENSE? YES NO ISSUED CLASS
C
CA

CERTIFICATES & LICENSES
TYPE DATE ISSUED (MONTH/YEAR) EXPIRATION DATE (MONTH/YEAR)
Professioncal Engineer 06/2004 09/2020
LICENSE NUMBER ISSUING AGENCY
C67156 Board for Professional Engineers, Land Surveyors, and Geologists

TYPE DATE ISSUED (MONTH/YEAR) EXPIRATION DATE (MONTH/YEAR)

LICENSE NUMBER ISSUING AGENCY