Official SealSan Joaquin County Human Resources Division


#0123-RH4960-01
Supplemental Questionnaire

Last Name
First Name

 

Please complete the following supplemental questionnaire. This questionnaire is considered an extension of your employment application and will be reviewed to help assess your qualifications. Resumes are not accepted in lieu of completing this questionnaire.  Include the name of your employer(s), dates of employment, job title, number of hours work per week, and a description of duties performed.


1.

This position requires possession of a valid California driver's license.  Please provide your license number and expiration date.

2.

Please describe any experience you may have in performing or assisting with laboratory work in a public health or medical laboratory.