Official SealSan Joaquin County Human Resources Division


#0622-RS3401-TM
Supplemental Questionnaire

Last Name
First Name
 

Do you possess a degree from an accredited four-year college or university, preferably with a major in social work, sociology, psychology, counseling, or a closely related field.
Yes No
 

Enter the major of your college degree. If this does not apply to you, type "N/A":
 

Do you possess a valid California C Driver's License?
Yes No
 

Enter the EXPIRATION DATE of you driver’s license.
 

This recruitment will be used to fill positions with Child Protective Services (CPS) and Adult Protective Services (APS). Please indicate your interest in referral below:
I would like to be referred for interviews in both CPS and APS.
I am only interested in being referred for interviews in CPS.
I am only interested in being referred for interviews in APS.