Official SealSan Joaquin County Human Resources Division


#1222-RC1501-PC
Supplemental Questionnaire

Last Name
First Name
 

1.  Please describe your paid work experience in transporting children to social service appointments. You must include in your response: the dates of employment (month/day/year); name of the employer; hours worked per week; and details of work performed.

 

 

2.  Completion of 30 semester units in an accredited college or university with at least 6 units in the social behavior sciences may be substituted for the required experience. 

     a.) List the name of the accredited college or university where you completed 30 semester units.

 

     b. List the name of the courses completed and the number of units.

 

3.  Do you possess a valid California class C driver's license?  If yes, please list the license number and expiration date.