Local and Disadvantaged Hire Verification Form
West Oakland Job Resource Center (WOJRC) is a designated organization by the City of Oakland and Port of Oakland to verify all new hires at the Global Logistics Complex, formerly known as  the Oakland Army Base (OAB), to determine if the new hires meet the “Local Hire” and “Disadvantaged” hire definition.  

The information gathered on this form is for verification purpose only, and shall be kept confidential, in compliance with the 1974 Privacy Act. None of this information shall be released to the employer, and the data gathered information shall only be used as “aggregate” information to determine if the employers are in compliance with the 50% Local Hire and 25% Economically Disadvantaged Hire policies as enacted by the City and Port of Oakland.  

Please fill out the following information:  
Email *
Name of New Hire *
Name of New Employer *
Date of Hire *
Please check if you reside in the following zip codes: *
If other zip code, please type it on the space provided
Were you collecting or have exhausted your unemployment insurance before being hired? *
Were you terminated due to plant, facility or enterprise closure?   *
Were you a seasonal or migrant worker for the past year? *
Have you been, or are you an active veteran? *
Were you ever convicted of a felony? *
Please check if you were receiving the following prior to being employed:   *
Supplemental Security Income (SSI)
Aid to Families with Dependent Children
State or Local General Assistance
Are you recognized as a Native American descent? *
Were you enrolled in an employment training program prior to being employed? *
Clear form
Never submit passwords through Google Forms.
This form was created inside of West Oakland Job Resource Center. Report Abuse