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Santa Cruz County Personnel Department
#18-MP4-01


Supplemental Questionnaire

Last Name First Name
 

 

The following supplemental questions are designed specifically for this recruitment. Applications received without the required supplemental information will be screened out of the selection process. Employment experiences referred to in your responses must also be included in the Employment History section of your application.

NOTE: Please answer the question(s) below as completely and thoroughly as possible, as your answer(s) may be used to assess your qualifications for movement to the next step in the recruitment process.


1.

In the last ten (10) years, have you had any jobs that required you to operate a commercial vehicle?

Yes No

 

If you answered “yes” you must complete the work history described in Question 2 (below), answer Questions 3 – 5, and check the box indicating you are signing the questionnaire.

If you answered “no” then you may skip Question 2, answer Questions 3 – 5, and sign the bottom of the supplemental questionnaire.


2.

Department of Transportation (DOT) federal regulations require that the County of Santa Cruz obtain specific employment history from you for any and all jobs that you have had in the last ten (10) years that required you to operate a commercial motor vehicle. For each job that required you to operate a commercial vehicle, you must provide all of the information listed below. The information supplied relating to previous employers may be used and the employers contacted.

  • Name and address of former employers
  • Dates of employment (from and to)
  • Number of hours worked per week
  • Type of vehicle driven / equipment used
  • Reason for leaving
3.

Please describe your training and/or experience in performing skilled mechanical repair work on pumps, diesel engines, generators, or other mechanical fixtures common to sewage transmission facilities. For work experience, please include the name of your employer and job title. For training, include the name of the training facility.

4.

Please describe in detail your experience diagnosing and repairing problems in diesel and mechanical systems.

5.

Please describe your experience and/or training in mechanics with the use of computers, software, scanners, analyzers, and/or electronic communication devices.