Official SealSan Joaquin County Human Resources Division


#0620-RH0222-01
Supplemental Questionnaire

Last Name
First Name
1.

This position requires graduation from an accredited four-year college or university with a major preferably in health care administration, public health, public administration, business administration, emergency management, public safety or a closely related field.

In the space below, provide the name of the college you attended and the degree and major completed.

2.

This position also requires that you possess two years of administrative analytical work requiring analysis and interpretation of data, rules and regulations in an emergency services, emergency medical services, public health, or public safety setting.

Please describe your relative experience below.  Include name of employer, job title, dates of employment and duties that you performed in your response.

3.

Do you possess a valid California Driver's License?

Yes No
 

If you answered yes, provide your license number and expiration date (mm/dd/yyyy).

S1.

Substitution #1: A master’s degree in health care administration, public health, business administration, emergency management, public safety or a closely related field from an accredited college or university may be substituted for the one year of experience.

If this applies to you, provide the name of the college you attended and the Master's Degree completed in the space provided below.

S2.

Substitution #2: Additional qualifying experience can substitute for the education on a year-for-year basis up to two years.

Please describe any additional experience you possess in an emergency services, emergency medical services, public health, or public safety setting below.  Include name of employer, job title, dates of employment and duties that you performed in your response.