Official SealHuman Resource Services Department


#18-1570-01
Supplemental Questionnaire

Last Name
First Name
1.

As stated in the examination announcement for this position, a properly completed Supplemental Questionnaire must be submitted with an application. Failure to submit the Supplemental Questionnaire will result in disqualification.

All experience detailed in the Supplemental Questionnaire should clearly tie back to the "Work Experience" or if applicable, the “Education and Training” sections of the application.

Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by the filing date deadline in order to be considered for this recruitment.

The purpose of this questionnaire is for you to identify your qualifications and experience in job-related areas.  It is critical that you fill out the Supplemental Questionnaire completely, listing all education, experience or special training which might demonstrate your qualifications. Responses should be thorough and specific.  Clarity of expression, grammar, spelling and the ability to follow instructions will be considered in the evaluation process.  A resume will not be accepted as a substitute for a properly completed application and accompanying Supplemental Questionnaire.

Checking "yes" below, indicates that you understand the information provided above.

Yes No
2.

Do you possess the equivalent of one year of full-time, paid and/or volunteer general office experience, involving public contact, interviewing and obtaining personal information from the general public?

Yes No
3.

If you answered yes, to question number 1, please describe your public contact work?  Was the work face to face or over the phone? What information were you required  to obtain?   To whom and in what way were you required to communicate the information you obtained?

4.

Do you have a valid California Driver’s License?

Yes No
 

If you answered yes, to question number 4, please indicate the expiration date. 


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