Official SealSan Joaquin County Human Resources Division


#0719-RI1005-01
Supplemental Questionnaire

Last Name
First Name

 

Please complete the following supplemental questions. This supplemental is considered an extension of your employment application and will be reviewed to help assess your qualifications. In your descriptions of your experience, include the name of the employer, dates of employment, job title, and your specific job duties.
1.

PATTERN I

Do you possess at least one year of experience as an Information Systems Analyst IV AND an active Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) certification? (Note: If you answered yes, you must attach your certificate to your application and you do not need to proceed further.)
Yes No
2.

PATTERN II

Have you graduated with a Bachelor's Degree from an accredited college or university with a major in computer science, information systems, mathematics, business administration or a related field?
Yes No
2a.

If you answered yes to the previous question, please provide major and college/university attended.
3.

Please describe your four years' of full-time, paid, increasingly responsible professional, analytical computer and related systems work in an information systems environment which includes one of the following:

  • One year experience as a designated Information Security Officer for a Health Insurance Portability and Accountability (HIPAA) covered organization.
  • Two years’ experience as Chief Information Officer in a State or County government agency or a regulated industry. One year of this experience may be substituted with possession of either an active Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) certification.
  • Three years’ experience with an increasing level of scope and responsibility in Information Security with a State or County government agency or a regulated industry.  One year of this experience may be substituted with possession of either an active Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) certification.

Include your employer, dates of employment, and the number of hours worked per week.