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Santa Cruz County Personnel Department

Supplemental Questionnaire

Last Name First Name


Treatment Plant Operator Supplemental Questions

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.


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.


Describe the facility of the current or most recent wastewater plant where you have worked.


Describe your position in relation to the operation of the facility mentioned in question one. Include a description of the organization and a detailed description of your duties and responsibilities.


Do you have a valid Grade I or higher Wastewater Treatment Plant Operator Certificate, issued by the California State Waste Resources Control Board?

Yes No


If yes, provide the following information:


Name of certificate:


Date issued:


Date expires:


Describe any additional certificates, training, and/or education you have, pertinent to working as Treatment Plant Operator. Include name of organization giving the training/education and the dates when you attended.