Official SealSan Joaquin County Human Resources Division


#1021-RI1302-TM
Supplemental Questionnaire

Last Name
First Name
1.

PATTERN I

Do you possess one year as a Department Information Systems Specialist I in San Joaquin County?

Yes No
1a.

If you answered "Yes" to Question No. 1, please provide your current job title and Employee ID.

2.

PATTERN II

Have you complete at least 60 semester (or 90 quarter) units from an accredited college or university, including 24 units in computer science?

Yes No
2a.

If you answered "Yes" to Question No. 2, please provide the name of the college attended, the total number of units completed and the course title and number of units for each computer science course completed.

3.

Does you possess at least two years of experience that included substantial responsibility for operating, installing, configuring, testing, troubleshooting and repairing desktop computer hardware, software, peripheral equipment and/or network systems?

Yes No
3a.

If you answered "Yes" to Question No. 3, please provide information regarding your experience, including the name of your employer, dates of employment, a detailed description of the specific job duties you performed, and the number of hours worked per week performing those duties.

4.

SUBSTITUTION #1

Do you possess an approved information systems technology certificate, or completion of an approved information systems training course which may substitute for all or part of the above-required education. Click here for a list of the approved certificates and/or courses that will be accepted.

Yes No
4a.

If you answered "Yes" to Question No. 4, provide type of certificate or description of approved information systems training course.

5.

SUBSTITUTION #2

Please provide any additional qualifying experience (that was not already provided in Question  #3a) that may substitute for the above-requried education on a year-for-year basis.