11 007 COURT REPORTER SAF by p8afbaQP

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									                              SAN DIEGO SUPERIOR COURT
                           SUPPLEMENTAL APPLICATION FORM

                                     COURT REPORTER
                                    Examination No. 11-007


          LAST NAME:         ___________________________________________

          FIRST NAME:        ___________________________________________

          SOCIAL SECURITY NUMBER: ______________________________


Before completing this supplemental application form, please be sure to review the job
announcement in order to become familiar with the description of the job summary and requirements
for competing in the examination process.

The information provided on this supplemental application will be: (1) used to determine your
eligibility to compete in the examination process, (2) evaluated and rated during the examination
process to determine placement on the eligibility list, and (3) provided to Court Reporter Supervisors
as part of the interview and selection process.

Complete this supplemental application form carefully and entirely. Wherever specific information
has been requested, it MUST be stated. When completing this form, wherever lines are provided,
state concisely the details of how you acquired the specific knowledge or skill, such as duties or
experience or the course content of any education or training. If you need additional space, you
may attach additional sheets, numbering them accordingly. (Be sure to print or type your name,
social security number, and examination number on each additional attached sheet.)

Those sections which are not applicable to your particular qualifications should be marked "N/A" to
indicate that they have not been overlooked. Do NOT make statements such as "Refer to
resume or application" to indicate your intended responses when completing this form.
Incomplete or illegible forms may be the basis for disqualification, so please provide
complete and legible information.

If you have any questions, please contact the Superior Court Human Resources department at (619)
450-7230.




                                             Page 1 of 4
San Diego Superior Court                                                     Examination No. 11-007
Supplemental Application Form
Court Reporter

                                              SECTION I

1. Please list the valid state licenses you currently hold on the spaces provided below. Please do not
use abbreviations and be sure to include your license number.

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

2. Please list any certificates you currently hold which were issued by the National Court Reporter
Association (NCRA) in the spaces provided below. Do not use abbreviations.

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________


                                              SECTION II

In the matrix below, please describe what, if any, experience you may have working as a reporter in a
court environment.

     Name of Court             Dates of          Employment       Types of Court Proceedings Covered
                              Employment            Status           (Juvenile, Civil, Family, prelims,
                                                 (official, per            arraignments, etc.)
                                                     diem)




                                               Page 2 of 4
San Diego Superior Court                                                    Examination No. 11-007
Supplemental Application Form
Court Reporter

                                             SECTION III

In the matrix below, please describe what, if any, freelance reporting experience you may have.

   Name of            Dates of         Average # of          Type of Events              Did you have a
  Employer or        Employment        Assignments               Reported                    particular
    Agency                              Per Week            (i.e., dispositions,         specialization?
                                                        Workers’ Comp hearings,         If so, please state
                                                         city council meetings,
                                                                    etc.)




                                             SECTION IV

Please use the matrix below to describe your experience providing realtime reporting.

Name of Employer        Dates of       Frequency (daily,    Type of Matter (depos, Name of End User
                       Employment      once a week,         court hearings, closed Software
                                       upon request)        captioning, etc.)




                                              Page 3 of 4
San Diego Superior Court                                                        Examination No. 11-007
Supplemental Application Form
Court Reporter
                                              SECTION V
Please describe your experience, if any, reporting the following types of cases.

Medical:________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

DNA:__________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Scientific:_______________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Expedited Copy:__________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Construction
Defect:__________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Personal Injury:__________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Death Penalty:____________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

I certify that all of the information provided on this supplemental application form is true and accurate.
I understand that falsified information may form the basis for my disqualification or dismissal.


__________________________________________                            _____________________
Applicant’s Signature                                                Date
                                                Page 4 of 4

								
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