Official SealSan Joaquin County Human Resources Division


#1224-RH8500-AC
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess a bachelor’s degree from an accredited college or university with a major in foods and nutrition, dietetics, nutritional sciences, or a closely related field?
Yes No
2.

Have you completed of an approved dietetic internship or coordinated program. If yes, please upload proof of completion with your application. 

 
Yes No
3.

Do you possess a current and valid State of California Drivers license (DL)?  If yes, identify below, the DL number and expiration date.