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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
                                                                                  Director of Public Works
                          020021
        * JOB POSTING NUMBER:                                       * POSITION TITLE:

                                                 PERSONAL INFORMATION
        * FIRST NAME                                     MIDDLE INITIAL              * LAST NAME
          Ryan                                             T                           Moore

        * ADDRESS
       3170 Dullanty Way

        * CITY                                                      * STATE                          * ZIP
       Sacramento                                                   CA                               95816



        HOME PHONE                                                  ALTERNATE PHONE
       916-724-9095                                                 916-808-6629


                                                                    * WHICH METHOD DO YOU PREFER TO BE NOTIFIED ABOUT YOUR
        * EMAIL ADDRESS                                                APPLICATION STATUS?      EMAIL  OR       PAPER
       ryanmoore7373@gmail.com


                                                        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
          University of Nevada, Reno                                                    Masters of Science
                                                                                         SEMESTER         QUARTER
        SCHOOL LOCATION (CITY/STATE)                          DID YOU GRADUATE?       # OF UNITS COMPLETED:
          Reno Nevada                                         YES       NO
                                                                                        42
        MAJOR
          Civil Engineering

        SCHOOL NAME                                                                   DEGREE RECEIVED
          University of Nevada, Reno                                                    Bachelors of Science
                                                                                         SEMESTER         QUARTER
        SCHOOL LOCATION (CITY/STATE)                          DID YOU GRADUATE?       # OF UNITS COMPLETED:
          Reno Nevada                                         YES       NO              133
        MAJOR
          Civil Engineering

        SCHOOL NAME                                                                    DEGREE RECEIVED

                                                                                         SEMESTER         QUARTER
        SCHOOL LOCATION (CITY/STATE)                           DID YOU GRADUATE?       # OF UNITS COMPLETED:
                                                               YES       NO

        MAJOR


                                             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)
          Professional Traffic Engineer                          December 2017                March 2020
        LICENSE NUMBER                                         ISSUING AGENCY
          2850                                                   Board for Professional Engineers, Land Surveyors, and Geologists

        TYPE                                                   DATE ISSUED (MONTH/YEAR)     EXPIRATION DATE (MONTH/YEAR)
          Professional Civil Engineer                            July 2000                    December 2020
        LICENSE NUMBER                                         ISSUING AGENCY
          61088                                                  Board for Professional Engineers, Land Surveyors, and Geologists
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