Official SealHuman Resource Services Department


#16-1105N-01
Supplemental Questionnaire

Last Name
First Name
 

IMPORTANT:  Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process and to further verify minimum qualifications. 

By selecting yes below, you certify your understanding that all applicants must meet minimum qualifications in order to move forward in the process.  Do you understand the above statement?

Yes No

1.

Messengers, Services-As-Needed (SAN) are scheduled to work intermittent hours for relief coverage and may be scheduled to work a few hours, a few days, or an undetermined amount of time.  There may be extended periods of time when no work is scheduled.


a)

Are you available to work intermittent (i.e., not continuous) hours?

Yes No
b)

Are you willing and able to work a few hours, a few days, or for an undetermined amount of time?

Yes No

2.

Messengers, SAN, must be willing and able to report to work on short notice.


a)

Are you willing and able to report to work on short notice?

Yes No

3.

Messengers, SAN, are required to work and drive in all weather conditions and to lift mail bins weighing up to 50 pounds.


a)

Are you willing and able to work and drive in all weather conditions?

Yes No
b)

Are you willing and able to lift up to 50 pounds?

Yes No
4.

Do you possess a valid California Motor Vehicle Operator's License?

Yes No
5.

Have you received one point or less on your driving record in the last 3 years?

Please attach a copy of your current DMV driving record.

Yes No
6.

    

Describe any work experience you have had as a driver, courier, messenger, or in a related occupation.  Include all jobs you have held as a driver, courier, messenger, or related occupation. Include the following information for each job:

a)  Dates of employment (start and end dates)  
b)  Hours worked per week
c)  Specific duties (e.g., sorting deliveries, plan route, deliveries only, etc.)
d)  Size and area of your route(s)
e)  Route environment and location (e.g., urban, suburban, rural, city streets, freeways, etc.)
f)  Type of vehicle operated
g)  Type of material transported

Please note that completing question #6 does not take the place of completing the Work Experience section of the application.

                                                                   


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