Official SealSan Joaquin County Human Resources Division


#0122-RO7300-01
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess one year of stock room, messenger, delivery service, or related experience?

Yes No
 

If you answered "yes" to question #1, provide the name of your employer, job title, dates of employment, hours worked per week, and relevant job duties.

2.

Substitution: Do you possess clerical experience that required the regular use of personal computers and computerized printing?

Yes No
 

If you are using the substitution pattern to qualify, provide the name of your employer, job title, dates of employment, hours worked per week, and relevant job duties.

 

3.

Do you possess a valid California driver's license?

Yes No
4.

Provide your driver's license number and expiration date.