Official SealSan Joaquin County Human Resources Division

Supplemental Questionnaire

Last Name
First Name

Do you possess a bachelor's degree from an accredited college or university with course work in sciences and mathematics as prescribed in Section 106600-106735, all inclusive, of the California Health and Safety Code?

 If so, please provide the following information: 


University attended


This position requires a valid certificate as a Registered Environmental Health Specialist  (REHS) issued by the California Department of Health Services. 

Do you possess a valid REHS certificate?

Yes No


If you responded "Yes" to Question 1, please submit your certificate with your application.


Do you possess a valid California driver's license?

Yes No