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Santa Cruz County Personnel Department

Supplemental Questionnaire

Last Name First Name



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 experience 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.


List any lifeguard, water safety, CPR or First Aid certificates that you hold. Include the issue date and the expiration date for each certificate. Submit a copy of each certificate to the County Personnel Department by the final filing date of this recruitment.


List any lifeguard, water safety, CPR or First Aid classes in which you are currently enrolled. Include the scheduled completion date for each class, the name of the agency where the class is offered and the agency phone number for verification of your enrollment.