Official SealSan Joaquin County Human Resources Division


#0618-RS1075-01
Supplemental Questionnaire

Last Name
First Name
1.

This is a departmental promotional recruitment. Qualified applicants must currently work for the Human Services Agency (includes Mary Graham Children's Shelter) and meet the promotional requirements under Civil Service Rule 10. Do you currently work for the Human Services Agency? (If yes, please clearly include that information on your employment application as it will be verified by Human Resources)

Yes No
2.

Did you graduate from an accredited four-year college or university?

Yes No
3.

Do you have three (3) years experience providing social service work for children in a children's shelter, group home or similar setting; or providing social casework for children and families?  If yes, please include name of employer, dates of employment, job title, hours worked per week, and specific duties performed. 

4.

Do you possess a valid California driver's license?  If yes, please provide your valid California driver's license number and the expiration date.