Official SealSan Joaquin County Human Resources Division


#1223-RA0601-AC
Supplemental Questionnaire

Last Name
First Name
1.

This position requires possession of a bachelor's degree from an accredited college or university, including 30 semester units of basic science.

In the space provided below, please confirm that you have met this requirement by indicating the university and type of degree you have completed. Also include a list of the basic science courses you have completed and the units obtained from each course.

2.

Special Qualification: At the time of application, candidates must possess an evaluation letter from the State of California, Department of Health Services, stating that eligibility and educational requirements for acceptance as an Environmental Health Specialist Trainee have been met.

This letter must be submitted with your application to qualify for this position.

Do you possess the State of California, Department of Health Services eligibility letter?

 

Yes No

 

A copy of the required evaluation letter must be submitted to Human Resources with your application.  It may be submitted as an attachment to your application or sent via email to anlarieau@sjgov.org.

*Our application system only allows one document to be uploaded per application. If you are attaching a resume or cover letter, please scan all documents into one attachment before uploading.


3.

Do you possess a valid California driver's license?

Yes No
 

If you answered "Yes" above, please provide your California Driver's License number AND expiration date.