Official SealSan Joaquin County Human Resources Division


#1022-TH9258-TM
Supplemental Questionnaire

Last Name
First Name

 

NoteA copy of your unofficial transcript demonstrating a grade of "C" or better must be submitted by the final filing date. The transcript may be submitted by attaching it to your online application when prompted for a resume. If you are unable to attach the document, please email to alhandelman@sjgov.org.


1

Current enrollment in an approved Registered Nurse curriculum is required. Please identify the semester in which you are currently enrolled:

First semester of an approved Registered Nurse curriculum with a grade average of "C" or better.
Second semester of an approved Registered Nurse curriculum with a grade average of "C" or better.
Third semester of an approved Registered Nurse curriculum with a grade average of "C" or better.
Fourth and final semester of an approved two-year registered nurse curriculum OR in subsequent semesters of a Registered Nurse baccalaureate program with a grade average of "C" or better.
I am not enrolled in an approved Registered Nurse curriculum.
2

Please indicate if you possess full-time paid work experience performing duties equivalent to those of a nursing aide in an acute care facility.

Yes, I have six months (1040 hours worked) of full-time paid work experience performing duties equivalent to those of a nursing aide in an acute care facility.
Yes, I have one year (2080 hours worked) of full-time paid work experience performing duties equivalent to those of a nursing aide in an acute care facility.
Yes, I have eighteen months (3120 hours worked) of full-time paid work experience performing duties equivalent to those of a nursing aide in an acute care facility.
No, I do not have any paid work experience performing duties equivalent to a nursing aide in an acute care facility.

 

If you possess the required experience, please make sure to complete the Employment History portion of the application in detail. Please include name of employer, job title, dates of employment, and a description of duties performed. 

Failure to complete this section in it's entirety may result in delays to the application and hiring process.