Official SealSan Joaquin County Human Resources Division


#0424-RS2021-01
Supplemental Questionnaire

Last Name
First Name
1.

In order to be referred to Cambodian-speaking positions, you must take and pass the San Joaquin County Bilingual Proficiency Exam. 

Please indicate your fluency in the Cambodian language below:
Read
Write
Speak
I am not fluent in Cambodian and English
2.

Have you taken and passed the San Joaquin County bilingual exam for proficiency in the Cambodian language?
Yes No
2A.

If you answered yes, please provide the approximate date that you passed the bilingual proficiency exam.
3

Candidates must possess and maintain a valid California Driver's License.  Provide your valid California driver's license number and expiration date.