One City * One Hire One Click Application

OneCityOneHire.org

One-City, One-Hire Registration

* = Required

In order to register you will need a valid email address. If you do not have an email address, please sign up for one here:

YOU MUST BE A DC RESIDENT TO PARTICIPATE IN THIS REGISTRATION.

*By checking this box, I affirm that I am a DC Resident.

General Information

*First Name:

*Last Name:

*Social Security Number:

*Date of Birth:

/	/
mm	dd	yyyy

*Gender:

MaleFemale

*Email Address:

*Primary Phone Number:

Secondary Phone Number:

*Education Level:

Certificates:

Licenses:

Ethnicity:

Hispanic or Latino
Not Hispanic or Latino

Race:

Address Information

*Address Line (1):
Apt. No. / Suite:		*City:
*State:		*Zip / Postal Code:

Military Information

*Are you a Veteran?

YesNo

Internet Access Information

*Do you have internet access?

YesNo

Supplemental Information

Security Clearance
Do you speak, write or understand any foreign languages? (check all that apply)	Traditional ChineseVietnameseFrench SpanishAmharicOther KoreanAmerican Sign Language
Additional Information

Employment Information

*Are you authorized to work in the United States?

*List your Occupational Industry:
*Select best matching Job Occupation: (you need to specify your Occupational Industry first)

Please list up to two of your last jobs

Employer Name:	Company Type:
Employment Term:
Job Title:	Salary (per hour):
Start Date:	Currently employed with this company?	YesNo

Employer Name:	Company Type:
Employment Term:
Job Title:	Salary (per hour):
Start Date:	Currently employed with this company?	YesNo

Upload Your Resume

By checking this box, I certify that all information provided in this form is true and accurate to the best of my knowledge and belief. I understand that this information is subject to verification. I further understand that providing any false or inaccurate information may result in my removal from a DOES service, program, or training and may subject me to civil and/or criminal prosecution and penalties. I understand and agree that, if I am provided a service or if I participate in a program or training, it is to assist me to attain suitable employment. I agree to comply with the rules and requirements of any service, program, or training I receive from DOES. I also agree to notify DOES, once I secure employment.