Official SealSan Joaquin County Human Resources Division


#0818-RL1001-01
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess three years of full-time, paid general office work experience which involved substantial public contact?
Yes No
2.

If you answered "Yes" to Question No. 1, did the general office experience include responsibility for interviewing, document processing and follow-up? (Note: The experience must include all three of these job duties. Interviewing refers to asking questions of clients/customers, not personnel hiring interviewing).
Yes No
2a.

Please describe the purpose of the client/customer interviewing duties you performed and what information you were gathering.  Please include name of employer(s) and dates of employment.
2b.

Please list the types of documents you processed in the course of the interviewing process and indicate if these forms were completed electronically or manually.
2c.

Please indicate how often you followed up with the clients/customers (ie: weekly, monthly, quarterly, etc.) and identify the purpose of the follow up.
3.

SUBSTITUTION PATTERN

Have you completed course work at an accredited college or university? (Note: 30 semester units substitutes for 1 year of work experience, to a maximum of 2 years).
Yes No
3a.

College/University Attended:
3b.

Number of units completed?