Official SealSan Joaquin County Human Resources Division


#0319-RF0301-TM
Supplemental Questionnaire

Last Name
First Name
1.

Do you have one year of FULL-TIME (equivalent to 2,080 hours) of hospital or other institutional cleaning experience? 

Yes No

 

If you answered yes to question 1, please answer the following questions.  When providing your answer, please state your Job Title, Name of Employer, Dates of Employment and Hours worked per week.

If you do not have experience, indicate "none" below.


2.

Describe your hospital or other institutional cleaning responsibilities.

3.

Describe your experience leading or supervising staff responsible for hospital or institutional cleaning/housekeeping duties.