Official SealSan Joaquin County Human Resources Division


#0123-RS3401-SR
Supplemental Questionnaire

Last Name
First Name
1.

This position requires proficiency speaking the Spanish language. Do you meet this requirement? 

Yes No
2.

Have you passed the San Joaquin County's Spanish language listening and speaking bilingual exam? 

Yes No
 

If you answered "Yes" to the above question, please provide the language tested and the approximate date you passed the bilingual proficiency exam.

3.

Have you graduated 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
 

If yes, provide the following:

  • School name
  • Major
  • Month/Year degree received
4.

In order to qualify, you must possess a valid California driver's license.  Please provide your license number and expiration date (mm/dd/yy).