Official SealHuman Resource Services Department

Supplemental Questionnaire

Last Name
First Name

Thank you for your interest in the position of Clerk Intermittent I (SAN).  Your completed response to this supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process.  Responses should be specific, thorough and succinct.  A lack of adequate detail in the supplemental questions and in your application may result in failure or disqualification for this recruitment.    A resume will not be accepted as a substitute for a thoroughly completed employment history and supplemental responses.

By selecting yes below, you certify that all answers to the below questions are true and correct to the best of your knowledge.  Do you understand the above statement?

Yes No

Do you have at least six months of full-time clerical experience? Please list your experience in detail on the application. Resumes are not used in the screening for minimum qualifications process.

Yes No

Can you type at a speed of not less than 40 words per minute?

Yes No

Do you have the ability to lift up to 30 lbs?

Yes No

Do you have the ability to lift up to 50 lbs?

Yes No

Do you have the ability to lift up to 70 lbs?

Yes No

Are you currently certified to drive a sit down and stand up forklift?

Yes No

A typical work schedule is Monday through Friday 8:30am – 5:00pm. However, schedules for these assignments are workload driven and require a flexible schedule. There will be mandatory overtime (including weeknights, weekends and holidays as workload demands). There may be instances when you are not given a regular work schedule. Do you have a flexible schedule?

Yes No

Do you have a valid Driver’s License?

Yes No

Do you have a reliable vehicle to use at any time to transport supplies and/or equipment and to travel to various county locations as required?  Mileage will be reimbursed.

Yes No

In addition to English, are you Bilingual (CAN READ, WRITE AND SPEAK) in any of the following languages? Please check all applicable languages.  Note: You will be tested for fluency during the selection process for reading, writing, and speaking.

I am not bilingual