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#0418-RB4204-01
Supplemental Questionnaire

Last Name
First Name

 

Please complete the following supplemental questions. This supplemental is considered an extension of your employment application and will be reviewed to help assess your qualifications. In your descriptions of your experience, include the name of the employer, dates of employment, job title, and your specific job duties.


 

PATTERN I

Do you possess at least one year of experience as an Auditor-Appraiser III in San Joaquin County?

Yes No
 

PATTERN II

Have you graduated from an accredited four-year college/university with a specialization in accounting?

Yes No
 

Please list each of the accounting courses you have completed, and include the number of units earned for each course. (Example: Accounting 1, 4 units)

 

PATTERN III

If you have completed 60 semester hours in an accredited college or university which included 18 semester units in accounting given by an approved collegiate grade residence or correspondence school of accounting, please provide the following information:

a. Total number of units completed

b. College/University attended

c. Identify the 18 semester units in accounting and the school attended

 

PATTERN IV

Do you possess a current California license in accounting? (Note: A copy of the license must be submitted with your application.)

Yes No
 

Please list the 18 semester units completed in accounting courses given by an approved collegiate grade residence or correspondence school of accounting.

1.

The following information must be provided for all qualifying patterns.

Please provide your professional accounting or auditing experience. Identify the employer, dates of employment, job title, and your specific job duties.

2.

SPECIAL REQUIREMENTS :

To qualify, the following courses must have been completed:

1. An advanced income course offered by either the California State Board of Equalization or the American Institute of Real Estate Appraisers.

2. One additional advanced California State Board of Equalization or equivalent appraisal course.

Identify the agency and the courses completed in the space provided below.

3.

If you possess a valid California Driver's License, please provide license number and expiration date (mm/dd/yy).