Coroner's Investigator I Supp Questionnaire - Human Resources

CORONER'S INVESTIGATOR I
Supplemental Questionnaire

As stated in the examination announcement for this position, a properly completed supplemental questionnaire must be submitted for this examination along with an application. The purpose of this questionnaire is for you to identify your qualifications and experience in job-related areas.

It is critical that you fill out the supplemental questionnaire completely, listing all information which might demonstrate your qualifications in the rating areas. Be sure to include on the application and questionnaire dates and employment history.

A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 4:30 p.m. on the Last Day for Filing. Postmarks are not accepted. Failure to submit the Supplemental Questionnaire will result in disqualification.

1.	Have you successfully completed a certified P.O.S.T. approved basic academy?	YES	NO
	If YES, please list the following information: Name of Academy: Date Completed: Length of Academy:

2.	Are you over the age of 21?	YES	NO
3.	Did you graduate from high school?	YES	NO
	If not, do you have a qualifying GED?	YES	NO
4.	Do you have a valid California Driver's License?	YES	NO
	Number:
5.	Are you a citizen of the United States?	YES	NO
6.	If not, have you applied for citizenship at least one year prior to this application?	YES	NO
7.	Do you have normal hearing in each ear?	YES	NO
8.	Do you have 20/70 vision without glasses, correctable to 20/30 with glasses and free from color blindness and permanent abnormality in either eye?	YES	NO
9.	Can you physically lift a body weighing a minimum of 160 lbs.?	YES	NO

CERTIFICATION OF APPLICANT: I hereby certify that I am the author of this questionnaire and that all information presented is true and based on my background, skills, and experiences. I agree and understand that misstatements or omissions of material facts herein may forfeit my rights to any employment in the service of the County of Alameda.
SIGNATURE:	DATE

Supervisors | Departments | Employment | Services | Search