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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
                                                                                  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?       # OF UNITS COMPLETED:
          Tuscaloosa, AL                                      YES       NO
                                                                                        70
        MAJOR
          Engineering and Applied Mechanics

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

                                                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
   96   97   98   99   100   101   102   103   104   105   106