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Human Resources Department
#22-422040-02


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.

Please note that the experience in your answers must be reflected in your employment history.


1

Do you have a current evaluation letter from the California Department of Health Services stating that you are eligible to participate in an environmental health trainee program?

Yes No
2

Did you submit a copy of your college diploma (verifying the degree, date earned and area of specialization) or official/unofficial transcripts (verifying the date and degree conferred)?

Yes No