Official SealSan Joaquin County Human Resources Division


#0225-RS3042-AC
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess a master's degree from an accredited school of social work?
Yes No
 

Please provide the name of the college/university and your graduation date. 
2.

Do you possess a valid California license as a Clinical Social Worker?
Yes No
 

Please provide your Clinical Social Worker License number for source verification. 
3.

Do you have one year of full-time, paid, post-MSW social casework experience?
Yes No

 

If yes, please ensure this is CLEARLY demonstrated in the Employment Experience section of the application.