Clackamas 911 Applicants: Please download and fill out the Statement of Personal History in addition to your application which is available on the Department of Employee Services website

Statement of Personal History  <– CLICK HERE TO OPEN FORM


Forms may only be submitted during the open recruitment period in one of the following two ways:

  • By Email: Save and attach this form to an e-mail and send it to
  • In-Person: Print out the completed form and drop it off at C-COM at 2200 Kaen Road in Oregon City.

You may expect to receive contact from Merry Broughal within 5 business days of the receipt of your SPH. If you have not heard back within 5 business days, please email Merry at

DO NOT submit or turn in this SPH form if it is not complete.