Official SealSan Joaquin County Human Resources Division

Supplemental Questionnaire

Last Name
First Name

To qualify, you must possess a valid California driver's license.

Please provide your driver's license number and expiration date.


Have you completed 30 semester/45 quarter units from an accredited college or university?

Yes No

If you answered "yes" to Question 2, indicate the number of college units earned, whether they were semester or quarter units, and the school where they were obtained.