Official SealSan Joaquin County Human Resources Division

Supplemental Questionnaire

Last Name
First Name


The following information is being collected to identify the type of departments you are interested in working for. You will only be referred to jobs that meet the conditions you specify below so give careful consideration to your choices.


Please mark each county department type that you are willing to accept job referrals to:

All Departments
General County Government
Health Care Services (including San Joaquin General Hospital)
Law and Justice (requires a full Law Enforcement Background)

In addition to the day shift, check the following shifts that you are available to work:

Rotating (Depending on the department, rotations may occur on a monthly, quarterly or annual basis)
None of the above

I understand that this recruitment is being utilized to fill part-time and temporary opportunities only.