Official SealSan Joaquin County Human Resources Division


#0523-RO7301-TM
Supplemental Questionnaire

Last Name
First Name
1.

PATTERN I

Do you possess one year equivalent to Support Services Technician I in San Joaquin County service?
Yes No
2.

PATTERN II

Do you possess two years of stock room, messenger, delivery service, or related experience, including at least one year assisting with high-volume, computerized production printing work in order to meet customer needs?
Yes No
 

If you answered yes to question 2, list your relevant job title, employer name, dates of employment, hours worked, and job duties performed.
3.

SUBSTITUTION

Clerical experience that required the regular use of personal computers and computerized printing can substitute, on a year-for-year basis, for the above-required non-printing experience ( one year of production printing work is still required).

If you are using the substitution to qualify, list your relevant job title, employer name, dates of employment, hours worked, and job duties performed.
4.

BOTH PATTERNS

Do you possess a valid California driver's license?
Yes No
 

Provide your valid California driver's license number and expiration date.