Official SealSan Joaquin County Human Resources Division


#0818-RC2011-01
Supplemental Questionnaire

Last Name
First Name

 

Please note that prior to employment a pre-employment drug screen and physical exam must be successfully passed.


1

Candidates must possess and maintain a valid California driver's license. Provide your valid California driver's license number and expiration date. (If you do not possess a valid driver's license, please indicate "none")

2

Please indicate if you possess three years of full-time (40 hours per week) paid experience performing the following duties:

Receiving stores items
Storing supplies
Issuing stores items/supplies
Keeping inventory records
All of the above
None of the above
 

Based upon your selections above, please provide the specific duties performed in receiving, storing, issuing stores items and keeping or maintaining inventory records. Clearly identify if the inventory records were maintained electronically or manually.

Include the following information:

  1. Employer
  2. Dates of Employment (from/to):
  3. Number of hours worked per week