Official SealSan Joaquin County Human Resources Division


#0123-RO1500-01
Supplemental Questionnaire

Last Name
First Name
1.

Qualifying Pattern I:  Do you possess two years as an Office Supervisor in San Joaquin County?

Yes No
2.

Qualifying Pattern II:  Do you possess six years of general clerical, secretarial and/or office technical work, including at least two years performing first-level supervisory duties? 

Yes No
3.

AND FOR BOTH PATTERNS:

Please describe your two years of experience with significant first-level supervisory responsibilities. Include employer's name/department, job title, dates of employment (month & year), average hours worked weekly, duties performed, and number of employees supervised.

4.

If you are using one of the three substitution patterns:

a) one year of business training in an approved vocational training program may substitute for one year of the required non-supervisory experience;

b) completion of 30 semester/45 quarter units at an accredited college or university may substitute for one year of the required non-supervisory experience;

c) graduation from an accredited college or university with a bachelor's degree in public or business administration, human resources management, labor relations, accounting or a related field may substitute for four years of the required non-supervisory experience;

List the type of training, certificate or degree received, name of educational institution, major course of study and number of semester or quarter units earned in the box below: