Official SealSan Joaquin County Human Resources Division


#0722-RO4720-01
Supplemental Questionnaire

Last Name
First Name
1

This position requires possession of a valid California Driver's License, please provide license number and expiration date.

2

PATTERN I

Do you possess two years of paid work experience in a California Elections Office at a level equal to or higher than Elections Technician in San Joaquin County Service? (Note:The Elections Technician works independently performing complex and technical support activities associated with the preparation for and conduction of elections.)

Yes No
2a

If you answered yes, please provide the agency for which you were employed, the number of hours worked per week, and your specific job duties

3

PATTERN II

Do you possess four years of responsible general clerical or office technical work, two years of which must have been in an Elections Office functioning at the journey level?

Yes No
3a

Identify the Elections Office for which you were employed.

3b

Please provide the dates of employment, the number of hours worked per week, and your specific job duties.

4

SUBSTITUTION PATTERN

Have you completed 30 semester/45 quarter credit units at an accredited college or university? (This may substitute for one year of the required general clerical or office technical experience in Pattern II)

Yes No
5

SUBSTITUTION PATTERN

Have you completed 60 semester/90 quarter credit units at an accredited college or university? (This may substitute for two years of the required general clerical or office technical experience in Pattern II).

Yes No
6

If yes, please list the number of units completed and the accredited institution: