FOR OFFICE USE ONLY
Reviewer______Date______
 Qualified
 Hold – must submit:
______
By:______
 Rejected for:
 Experience
 Education  Late Filing
 Verification  Other: /

SUPERIOR COURT OF CALIFORNIA

COUNTY OF SAN FRANCISCO

EMPLOYMENT APPLICATION
Submit Completed Materials
to the Address Indicated on the Job Announcement
/ Date Received

COMPLETE APPLICATION PACKAGE DUE BY 4:00 PM, April 28, 2016

ANSWER ALL QUESTIONS - TYPE OR PRINT IN INK

READ THE RECRUITMENT ANNOUNCEMENT BEFORE COMPLETING THIS FORM

Position I am applying for: COURT INTERPRETER SPANISH/ENGLISH (Class Code 620C)
Last Name / First Name / Middle Initial
Street Address and Apt. No. / E-Mail Address / Primary Telephone Number
( ) -
City / State / Zip Code / Secondary Telephone Number
( ) -
X / X / X / - / -

L a s t S i x D i g i t s o f S o c i a l S e c u r i t y N u m b e r

Other surname(s) I have used:

You may  may not  contact my present employer. ______

I am currently licensed and in good standing as a Certified Spanish/English Court Interpreter with the State of

California: No ❏ Yes ❏ Attach a copy of your Court Interpreter Certification.

I am currently employed by another Superior Court in California: No ❏ Yes ❏ If yes, which court: ______

Have you, as an adult, ever been convicted, fined, placed on probation or given a suspended sentence, for a crime or traffic offense, in any court of law or military court? (Do not include juvenile offenses if the record has subsequently been sealed by court order.)  Yes  No
(Please note: A conviction is not an automatic bar to employment. Each case is considered on its individual merits.)
Date of Conviction / Location of Conviction / Describe Nature of Offense
EDUCATION:
Check appropriate box if you possess one of the following:
o High School Diploma o G.E.D. Certificate o California High School Proficiency Certificate
Give highest grade or educational level achieved:
college, business schools &
special training
name & location / dates
attended / course of study/major / degree awarded / units completed / type of degree certificate / date degree requirements completed
yes / no / sem. / qrtr.
a)
b)
C)


WORK HISTORY (Resumes will not be accepted as a substitute for completing this section).

1. List work history (including military service and applicable volunteer experience) for the last TEN (10) years.

Begin with most recent experience. Explain any gaps between employment.

2. List experience, regardless of date, which demonstrates that you meet the minimum requirements.

3. Describe duties as completely as possible; if supervisory, list number of employees supervised.

4.  If you held more than one position with the same employer, list each separately.

mo/yr mo/yr
TO / employer (business or agency name) / title of most recent position / name of supervisor
hrs per week / street city/state zip / salary
duties
reason for leaving
mo/yr mo/yr
TO / employer (business or agency name) / title of most recent position / name of supervisor
hrs per week / street city/state zip / salary
duties
reason for leaving
mo/yr mo/yr
TO / employer (business or agency name) / title of most recent position / name of supervisor
hrs per week / street city/state zip / salary
duties
reason for leaving
mo/yr mo/yr
TO / employer (business or agency name) / title of most recent position / name of supervisor
hrs per week / street city/state zip / salary
duties
reason for leaving

TIME NOT ACCOUNTED FOR ABOVE:

FROM / TO / EXPLANATION
MONTH/YEAR / MONTH/YEAR

CERTIFICATION OF APPLICANT: (READ CAREFULLY) I hereby certify that all statements made in this application are true and complete to the best of my knowledge. I understand that any false, incomplete, or incorrect statement, regardless of when it is discovered, may result in my disqualification or dismissal from employment with the Superior Court of California, County of San Francisco. I hereby authorize all my employers and schools (unless otherwise noted on Page One) to release any and all information concerning me, including information of a confidential or privileged nature. I HEREBY RELEASE ANY AND ALL EMPLOYERS AND THE SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO, FROM ANY LIABILITY OR DAMAGE WHICH MAY RESULT FROM FURNISHING THE INFORMATION REQUESTED.

DATE: / SIGNATURE OF APPLICANT:

OLUNTARY QUESTIONNAIs page is kept in the Human Resources Office for statistical record keeping purposes only and is removed prior to application review by any selection panel.

PROBATE EXAMINER
(Job Code 365C)
March 30, 2005
Name: / ______
(Last) / (First) / (M.I.)
This information is voluntary and will not be used for employment decisions. Code: Circle the number that applies to you: [Circle one (1) category only.]
1. / White (not of Hispanic origin) - Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East
2. / Black (not of Hispanic origin) - Persons having origins in any of the Black racial groups of Africa.
3. / Hispanic - persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race.
4. / Asian - (except Filipino) - Persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands. This area includes, for example, China, Japan, Korea and Samoa.
5. / Filipino - Persons having origins in any of the original peoples of the Philippine Islands.
6. / American Indian or Alaskan Native – Persons having origins in any of the original peoples of North America who maintain cultural identification through tribal affiliations or community recognition.
7. / Other
GENDER, Check One: /  Male /  Female

.