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Placer County Human Resources Department
#2015-12204-01
Supplemental Questionnaire

Last Name First Name
 
 

Part I: Language Skills

Are you English/Spanish bilingual? (Placer County may administer a Spanish Language Skills Examination as part of the selection process.)
Yes No
 

Are you English/Russian bilingual? (Placer County may administer a Russian Language Skills Examination as part of the selection process.)
Yes No

 

Department Assignments

This section will be used as sorting criteria when certifying lists to requesting departments.  Please mark YES or NO to specify the departments for which you would like to be considered for interviews. 
1.
Yes No
Yes No
Yes No
4.

Community Development Resource Agency - http://www.placer.ca.gov/departments/communitydevelopment
Yes No
5.

District Attorney's Office – http://www.placer.ca.gov/departments/da
Yes No
Yes No
Yes No
8.

Health and Human Services  - Administration - http://www.placer.ca.gov/departments/hhs
Yes No
9.

Health and Human Services - Adult System of Care - http://www.placer.ca.gov/departments/hhs/adult
Yes No
10.

Health and Human Services - Animal Services - http://www.placer.ca.gov/departments/animal-services
Yes No
11.

Health and Human Services - Children's System of Care - http://www.placer.ca.gov/departments/hhs/children
Yes No
12.

Health and Human Services - Human Services - http://www.placer.ca.gov/departments/hhs/public_assistance
Yes No
13.

Health and Human Services - Medical Clinics - http://www.placer.ca.gov/departments/hhs/community_clinic
Yes No
14.

Health and Human Services - Public Health - http://www.placer.ca.gov/departments/public-health
Yes No
Yes No
Yes No
Yes No

 

Thank you for completing the supplemental questionnaire portion of the application process. Please Save & Continue to move forward to the next tab. Be sure to select the "Submit" button once the application has been completed.  You will receive an automated email confirmation that the application has been submitted. 

A notice of your status will be sent to you after the posted final filing date.