Official SealHuman Resource Services Department


#17-4944-01
Supplemental Questionnaire

Last Name
First Name

 


Thank you for your interest in the position of Water Plant Operator III, Zone 7.  Your completed response to this 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.  Responses should be specific, thorough and succinct.  A lack of adequate detail in the supplemental questions and in your application may result in failure or disqualification for this recruitment.  A resume will not be accepted as a substitute for a thoroughly completed employment history and supplemental responses.


1

Do you have the equivalent of two years of full-time experience in operating water treatment plants?

Yes No
2

Do you possess a valid California driver’s license?

Yes No
3

Do you possess a valid Grade III Water Treatment Operator Certificate, or higher certificate, issued by the State of California?

Yes No
4

To qualify to participate further in this examination process, you understand that your answer to the above questions #1, #2, and #3 of this supplemental questionnaire must be "YES", and that you must also submit a copy of your valid California Driver's License and a copy of your Grade III Water Treatment Operator Certificate, or higher certificate, issued by the State of California along with this application and supplemental questionnaire by the last day for filing.  Do you understand this statement?


Please Note: To upload your licenses (valid CA Driver's License, Grade III Water Treatment Operator Certificate, or higher certificate, issued by the State of California, etc.), follow the instructions located on the Resume Tab of your application.  The Resume Tab is located at the top of the screen after you have completed this supplemental questionnaire.  Please remember to upload one document with all your files as the system will NOT accept multiple files.

Yes No
5

Please provide a listing of all of the State license(s), certificate(s), and/or registration(s) you possess which qualify you for this position.  Indicate in your response: 1) serial number, 2) date issued, 3) and expiration date for each.


Please Note: To upload your licenses, certificates, and/or registrations, follow the instructions located on the Resume Tab of your application.  The Resume Tab is located at the top of the screen after you have completed this supplemental questionnaire.  Please remember to upload one document with all your files as the system will NOT accept multiple files.

6

Do you have any additional job-related training and/or education beyond that required by the minimum qualifications?

Yes No
7

If you answered "YES" to question #6, please describe that additional job-related training and/or education beyond that required by the minimum qualifications below.

8

 Do you claim veterans'' preference points?

Yes No
9

Do you claim veterans' service connected disability points?

Yes No
10

I understand that to claim veterans’ preference points, I MUST attach a copy of honorable discharge (DD-214) verification to my application material.  I further understand that if I claim service-connected disability, I MUST also attach proof from the Veteran’s Administration of current disability of 10% or more.


Please Note: To upload your documentation follow the instructions located on the Resume Tab of your application.  The Resume Tab is located at the top of the screen after you have completed this supplemental questionnaire.  Please remember to upload one document with all your files as the system will NOT accept multiple files.

Yes No

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