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#0522-RP5015-AC
Supplemental Questionnaire

Last Name
First Name
 

Do you possess two years as a Medical Examiner Investigator with San Joaquin County?

Yes No
 

Do you possess a Bachelor’s Degree from an accredited college in Biology, Criminal Justice, Forensic Science, Mortuary Science or a related field.

Yes No
 

Do you possess two years of experience conducting investigations related to deceased persons in a Medical Examiner's Office, Coroner's Office, or law enforcement agency, which has included preparing detailed written reports for law enforcement, medical, or other related agencies?

Yes No
 

Please describe in detail your experience in a medical, nursing, or investigative field, Medical Examiner's Office or Coroner's Office.

The experience must include working with deceased persons and/or their families, investigating, interviewing individuals, and preparing detailed written reports for law enforcement, medical, or other related agencies.

Include the name of your employer, your job title, dates of employment, and number of hours worked per week.

 

Do you have a valid California driver's license?

Yes No
 

If you answered "Yes" above, please provide Drivers License number and expiration date.

 

Do you possess valid certification from American Board of Medicolegal Death Investigation?

(If you answer yes, please either attach to your application or submit via email to scaparicio@sjgov.org)

Yes No