Official SealSan Joaquin County Human Resources Division


#0121-RI1104-01
Supplemental Questionnaire

Last Name
First Name
1.

PATTERN I

Do you possess one year of experience as a Department Information Systems Analyst III in San Joaquin County service?

Yes No
2.

PATTERN II - Education and Experience

Do you possess a bachelor's degree from an accredited four-year college or university with a major in computer science, information systems, mathematics, business administration or a related field?

Yes No
3.

PATTERN II - Education

If you answered "Yes" to Question 2, provide the name of the school and your major:

4.

If you answered "No" to Question 2, provide the total number of college units completed, your major, and the name of the school:

5.

PATTERN II - Experience

Please provide information regarding your three years of increasingly responsible professional analytical computer and related systems work in an information systems environment, including your employer name, job title, dates of employment, hours worked per week, whether or not it was paid, and a detailed description of your duties:

 

6.

Substitution Pattern #1 (Complete only if you do not possess a bachelor's degree)

Possession of an approved information systems technology certificate may substitute for all or part of the required education.  Please list the IT certificates that you possess.   (List of approved certificates and/or courses is available here)

7.

Substitution Pattern #2

Additional qualifying experience may substitute for the above required education (bachelor's degree) on a year-for-year basis to a maximum of two years.  Please provide the employer name, your job title, dates of employment, hours worked per week, whether or not it was paid, and a detailed description of your duties.


8.

YOUR RESPONSES TO THE FOLLOWING QUESTIONS WILL BE USED FOR INFORMATIONAL PURPOSES ONLY AND WILL NOT BE USED TO DETERMINE WHETHER YOU MEET THE MINIMUM QUALIFICATIONS


8a.

Describe your experience working in a HIPAA compliant health care environment and any awareness of State and Federal compliance entities dealing with Public Health and other health care agencies. Include the name of your employer and your job title.

8b.

Describe your experience with vendor and product assessment as well as budget planning and resource management. Include the name of your employer and your job title.

8c.

Describe your experience with information security planning and incident response. Include the name of your employer and your job title.

8d.

Describe your experience managing a network operations team. Include the name of your employer and your job title.