Official SealSan Joaquin County Human Resources Division


#1220-RF0201-TM
Supplemental Questionnaire

Last Name
First Name
1.

Do you have six months work experience involving cleaning, laundry, routine maintenance or other kinds of manual labor.

Yes No
 

If you answered yes to the above question, please identify the following:

  • Type of experience you possess i.e. cleaning, laundry or rountine manual labor.
  • Name of organization/company in which the experience was obtained.
  • Total months/years of experience obtained.

 

2.

Do you possess a current California Driver's License?

Yes No
 

If you answered yes to question 2, identify your California Driver's License number and the expiration date.