Official SealSan Joaquin County Human Resources Division


#1121-RH4211-AC
Supplemental Questionnaire

Last Name
First Name

 

Please complete the following supplemental questionnaire. This questionnaire is considered an extension of your employment application and will be reviewed to help assess your qualifications. Resumes are not accepted in lieu of completing this questionnaire.


1.

Do you possess a valid Public Health Microbiologist certificate issued by the State of California?

Yes No
 

If yes, please provide your certificate number.  This information will be source verified.

 

This recruitment may be used to fill part-time and/or temporary positions, in addition to the full-time vacancies.

Please mark any and all you are being interested in being referred for:

Full-time
Part-time
Temporary