Official SealHuman Resource Services Department

Supplemental Questionnaire

Last Name
First Name


Thank you for your interest in the position of Sheriff's Technician, Examination #21-8755-01.  Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to further verify minimum qualifications.  Failure to answer these questions truthfully may result in disqualification from the examination process.


Do you possess the equivalent of six months full-time experience in the classification of Sheriff's Safety Aide in the Alameda County classified service?

Yes No

Do you possess the equivalent of one year full-time experience in a clerical position (60 semester units from an accredited college or university may substitute for 6 months of the clerical experience)?

IMPORTANT:  Information provided in your responses to the supplemental questionnaire regarding your employment experiences must also be detailed in the Work Experience section of the application for this recruitment.

Yes No

Do you possess the equivalent of two years honorable service in the United States military?

Yes No

Do you possess a valid State of California driver's license?

Yes No


The following questions, #5 through #7, are required in accordance with the Federal Prison Rape Elimination Act (PREA) of 2003, Standard 115.17/115.117/115.217/115.317.  Have you ever?


Engaged in sexual abuse in a prison, jail, lockup, community confinement facility, juvenile facility, or other institution (as defined by 42 U.S.C. 1997)?

Yes No

Been convicted of engaging or attempting to engage in sexual activity in the community facilitated by force, overt, or implied threats of force, or coercion, or if the victim did not consent or was unable to consent or refuse?

Yes No

Been civilly or administratively adjudicated to have engaged in the activity described in question #6?

Yes No

Alameda County has an Employee Referral Incentive Program whereby current employees are recognized monetarily for referring successful applicants for employment into "hard-to-fill" positions.

Were you referred to this position by a current Alameda County employee? If yes, please provide the name of employee, their employee ID# and their Agency/Department. (ALL information must be provided at the time of application to be eligible.) If No, please type in "N/A".

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