Official SealSan Joaquin County Human Resources Division


#0424-RL2002-ac
Supplemental Questionnaire

Last Name
First Name
1
If you possess a valid California Driver's License, please provide license number and expiration date.
2

To qualify, you must be an active member of the California State Bar. Please provide your California State Bar membership number.

3

Pattern I

Are you currently employed as a Child Support Attorney I or an equivalent classification with a government agency?

Yes No
3a
If yes, please provide your current job title, the agency for which you are employed, dates of employment, and your specific job duties including the type of cases you have handled.
4

PATTERN II

Do you possess one year of full-time paid experience in the practice of family law? (Note: Only answer this question if you answered no to #3)

Yes No
4a
If you answered yes, please provide employer, dates of employment, and the type of cases you handled.