Official SealSan Joaquin County Human Resources Division


#0321-RP1000-01
Supplemental Questionnaire

Last Name
First Name
1.

This position requires graduation from an accredited high school or possession of a General Education Development certificate (G.E.D), or a two-year or four-year college degree from an accredited institution.

Identify how you meet this requirement from the choices listed below:
High School Diploma
GED
2 year college degree
4 year college degree
2.

Do you possess a valid California Driver's License?
Yes No
2A.

If yes, provide the license number and expiration date (MM//DD/YYYY)
3.

Were you referred to this position by an employee of the San Joaquin County Sheriff’s Office? 
Yes No
3A.

If so, please provide the name of the San Joaquin County Sheriff’s Office employee who referred you in the space provided below.