Supplemental Questionnaire

	Human Resources Department

	#17-422050-E2
	Supplemental Questionnaire


Last Name	First Name

This Supplemental Questionnaire will be used to determine applicants’ qualifications for this position and whether they will continue in the recruitment process; therefore, applicants are encouraged to answer all questions thoroughly and completely. Omitted information will not be considered or assumed. Applicants who have no experience in a specific area are recommended to state "no experience in this area" instead of leaving the space blank.

Please note that the experience in your answers must be reflected in your employment history.

Do you have a valid California Class C Driver's License?

Yes No

Have you worked in the past as an Agricultural Weights & Measures Aide?

Yes No