Official SealSan Joaquin County Human Resources Division


#0523-RO6115-01
Supplemental Questionnaire

Last Name
First Name

 

You are applying for a position in Correctional Health Services, which provides health care to adult inmates at the San Joaquin County jail facility.

A candidate must successfully pass the security clearance, initiated through a background investigation conducted by the Sheriff’s Office. The background investigation requires the completion of an extensive questionnaire called “Personal History Questionnaire” and is used by the Sheriff’s Office to conduct the background investigation. 

The security clearance is a mandatory condition of employment, and the loss of the security clearance will result in termination from County employment in accordance with the rules and regulations governing County employment.


 

Are you currently employed by San Joaquin County?

Yes No
2.

If you answered yes, please provide your employee ID, current job title and the department you currently work:

3.

PATTERN I

Do you possess at least one year of full-time (40 hours per week) paid work experience at a level equal to or higher than Senior Office Assistant in San Joaquin County service?

Yes No
4.

PATTERN II

Do you possess three years of full-time (40 hours per week) paid general clerical experience, secretarial and/or office technical work, including at least one year functioning at a full journey-level?

Yes No
 

If you answered "Yes" to the previous question, please provide details regarding your experience in general clerical, secretarial and/or office technical work, including at least one year functioning at a full-journey level. Your response must include employer name, dates employed, hours worked, and duties performed. 

 

Substitutions for Pattern II

a) One year of business training in an approved vocational training program may subsitute for one year of the above-required experience;

or

b) Completion of 30 semester/45 credit units at an accredited college or university may substitute for one year of the above-required experience.

If you are using either pattern, please list the accredited college and the number of units completed, or the name of the vocational training program completed, in the box below: