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#1020-RE0111-TM
Supplemental Questionnaire

Last Name
First Name
2

If you possess a valid California Driver's License, please provide license number and expiration date.

3

Have you completed at least 60 semester units from an accredited college or university with major course work in engineering science, construction management, or a related field?

Yes No
3a

If you answered "Yes" above, please list the name of the college(s) you attended, course titles and units received for courses related to the requirement (engineering science, construction management, or related field).

4

Do you possess at least two years of full-time varied engineering work experience at a level comparable to a Senior Engineering Aide in San Joaquin County service?

Yes No
4a

If you answered "Yes" above, please provide employer, dates of employment, number of hours worked per week, and your specific job duties performed related to engineering.

5

SUBSTITUTION PATTERN #1: Additional experience may be substituted for the required education on a year-for-year basis (one year experience is equivalent to 30 semester units)

If you do not possess the required college units, please list additional experience that may substituted. Include employer, dates of employment, number of hours worked per week, and your specific job duties.

6

SUBSTITUTION PATTERN #2:  Additional education may be substituted for the required experience on a year-for-year basis (30 semester units is equivalent to one year experience)

If you do not possess the required two years of full-time varied engineering work experience, please list the total number of units completed and college attended.