Last Name | |
---|---|
First Name |
1. Do you possess a Bachelor's degree in Nursing or a closely related field? Please ensure that the information is clearly identified in the Education section of the employment application. |
Yes No |
2. Please provide your RN license number below: |
|
3. In order to be eligible for the Staff Nurse IV in the Family Maternity Center, the following classes or courses must have been successfully completed. Please check all that apply: Note: Please submit copies of all certifications with the completed employment application, or send via email to alhandelman@sjgov.org, or fax to (209) 468-0508. |
Fetal Heart Monitoring Class |
Neonatal Resuscitation Class |
Preceptor Class or Equivalent |
Advanced Fetal Heart Monitoring Class |
National Certification |
None of the above |
4. Please provide the number of years of full time (40 hours per week) paid RN experience in a Family Maternity Center that you possess: |
Less than 1 year of RN experience in a Family Maternity Center |
1-2 years of RN experience in a Family Maternity Center |
More than 2 years of RN experience in a Family Maternity Center |
I do not possess any RN experience in a Family Maternity Center |