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Human Resources Department
#20-873040-02


Supplemental Questionnaire

Last Name First Name
 

 

This Supplemental Questionnaire will be used to determine applicants’ qualifications for this position and assess an applicant’s ability to advance in the recruitment process; therefore, applicants are encouraged to answer all questions thoroughly and completely.  Omitted information will not be considered or assumed.  Applicants who have no experience in a specific area are recommended to state "no experience in this area" instead of leaving the space blank.


1

Do you currently possess or have the ability to obtain EPA Universal Certification for Refrigerants? Please submit a copy of your certificate with your application, if you possess one.

Yes No
2

Did you complete an Apprenticeship Program? 

Yes No
 

If Yes, what craft (s)

3

Did you receive a Journeyman Certificate or equivalent? If yes, please submit a copy of your certificate with your application.

Yes No
4

Do you have experience working with blueprints, diagrams, and schematics?

Yes No
5

Do you currently possess or have the ability to obtain a valid Class C driver’s license issued by the State of California?

Yes No
6

Do you possess three (3) years of experience of apprenticeship training in a program, or under a journey worker in heating, ventilating, air conditioning and/or refrigeration?

Yes No
7

Do you possess at least one (1) year of full-time paid experience at the level of a journey worker in heating, ventilating, air conditioning, and/or refrigeration?

Yes No