Official SealSan Joaquin County Human Resources Division


#0324-RE1004-FL
Supplemental Questionnaire

Last Name
First Name
1.

PATTERN I

Do you possess a Bachelor's Degree in Engineering or closely related field from a college or university accredited by the Accreditation Board for Engineering and Technology?
Yes No
1a.

If you answered "Yes" to Question No. 2, please provide the following information:  Degree type (BS, BA, etc), discipline/emphasis and school attended. (Ex: BS, Public Administration, ABC University)
1b.

If you do not possess a Bachelor's degree, do you have 15 or less semester units remaining to meet graduation requirements?
Yes No
1c.

If you answered "Yes" to Question No. 2b, please provide the total number of units completed towards a Bachelor's Degree in Engineering or related field.

Note: A Bachelor's degree will be required for successful completion of the probationary period.
2.

PATTERN II

Do you possess a valid Engineer-in-Training certificate as issued by the California of Registration for Professional Engineers and Land Surveyors? (Note: A copy of the certificate must be submitted with employment application)
Yes No
3.

Please provide your valid California Driver's license number and expiration date.