Official SealSan Joaquin County Human Resources Division


#1222-RE1400-PC
Supplemental Questionnaire

Last Name
First Name
 

1. Do you possess a valid California driver's license?

Yes No
 

If yes, please provide CA Driver License number and expiration date.

 

2. Did you graduate from an accredited college or university with major coursework in social work, public administration, social science or related field?

Yes No
 

If yes, please indicate degree and major:

 

3.  SUBSTITUTION:  Experience in a social service agency or a governmental agency that involved extensive public contact may be substituted for the required education on a year-for-year basis.  If you are using this substitution for the required education, please provide the following information about your work experience:  including name of employer, dates of employment, hours worked per week, and the primary duties performed that involve extensive public contacts with a social service or governmental agency