Official SealSan Joaquin County Human Resources Division


#0718-RC0551-01
Supplemental Questionnaire

Last Name
First Name
1.

To qualify, you must currently possess a valid California Class B driver's license, with tanker endorsements.

Do you have a valid Californai Class B driver's license, with tanker endorsements?

Yes No
1a.

If you answered "Yes" to Question No. 1, please indicate the driver's license number, class and expiration date

2.

Do you have one year of experience as a Highway Maintenance Worker in San Joaquin County service?

Yes No
2a.

If you answered "Yes" to Question No. 2, please indicate your current job title and Employee ID

3.

If you answered "No" to Question No. 2, please describe your experience in the construction, installation, or painting of traffic control devices. You must include the name of your employer, dates of employment, detailed information regarding the specific duties performed and the number of hours per week worked performing those duties.