Forklift driver warehouse worker

*.Are any persons now employed by the City of Bakersfield related to you by blood or marriage?

Yes

No

2.Do you live with, are you related to, or have you been previously married to a current City employee?

Yes

No

3.I understand if I answered "Yes" to question #1 or #2, the issue of nepotism must be reviewed and approved by the appropriate Civil Service Board prior to appointment, in accordance with Bakersfield Municipal Code 2.72.130.

4.If you answered "Yes" to question #1 or #2, please give names and relationships. If you answered "No' to question #1 or #2, please state "N/A".

5.Do you claim veteran's credit?

Yes

No

6.If you answered "Yes" to question #5, DD214 form must accompany application if you claim veteran's credit.

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7.I affirm and certify that all the information and answers to questions herein are

complete, true and correct to the best of my knowledge and belief.

Full Name: