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Santa Cruz County Personnel Department
#22-MU3-01


Supplemental Questionnaire

Last Name First Name
 

 

Public Works Maintenance Worker I - SUPPLEMENTAL QUESTIONNAIRE

The supplemental questions are designed specifically for this recruitment. Applications received without the required supplemental information will be screened out of the selection process. Employment experiences referred to in your response must also be included in the Employment History section of the application. 

NOTE: Please answer the question(s) below as completely and thoroughly as possible, as your answer(s) may be used to assess your qualifications for movement to the next step in the recruitment process.  If you do not have experience in an area, you may answer ‘None’ or ‘Not applicable’.


1.

Describe any commercial work experience you have in landscaping, construction, paving or maintenance.

2.

List & describe any experience you have with hand tools, gas-powered equipment, and tractor or forklift operation.  Include any experience learning and following safety practices.  

3.

Describe any experience you have working in and around vehicle traffic and/or outdoors.

4.

In the past ten (10) years, have you had any jobs that required you to operate a commercial motor vehicle and possess a Class A or Class B Commercial Driver License?  If you answered YES, complete the work history described in Question 5.

                                          

Yes No
5.

Department of Transportation federal regulations require that the County of Santa Cruz obtain specific employment history from you for any and all jobs you have had in the last ten (10) years that require you to operate a commercial motor vehicle, you must provide all of the information listed below.

                                                                - Name and address of former employers

                                                                - Dates of employment (from and to)

                                                                - Number of hours worked per week

                                                                - Type of vehicle driven/ equipment used

                                                                - Reason for leaving