Official SealSan Joaquin County Human Resources Division


#0422-RE0300-01
Supplemental Questionnaire

Last Name
First Name
1

Have you completed at least 60 semester (or 90 quarter) units from an accredited college or university with course work in planning, drafting, engineering, architecture, environmental health, architectural engineering, landscape architecture, geography, sociology, public administration, business, economics, ecology, or a closely related field?

Yes No
2

If you checked "Yes" to Question 1, please provide 1) name of institution 2) course title, and 3) number of units earned for each course title completed.

3

Do you have two years of experience reviewing, tracking and processing building or land use permits in a public sector planning, building or related agency?

Yes No
4

If you checked "Yes" to Question 3, please provide 1) dates of employment 2) employer 3) job title, and 4) a detailed description of the specific qualifying job duties you performed.

5

Do you have two years of experience performing construction, building, land use, or other work that required familiarity with, and the interpretation of, planning or building-related codes, ordinances and regulations?

Yes No
6

If you checked "Yes" to Question 5, please provide 1) dates of employment 2) employer 3) job title, and 4) a detailed description of the specific qualifying job duties you performed.

7

Education Substitution

Additional qualifying experience may substitute for the above-required education on a year-for-year basis, where one year of experience is considered equivalent to 30 semester (or 45 quarter) units.

If you wish to use this substitution, please provide 1) dates of employment 2) employer 3) job title, and 4) a detailed description of the specific qualifying job duties you performed.