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Supplemental Questionnaire

Last Name
First Name

The minimum experience requires one year (2,080 hours) experience equivalent to a Clinical Laboratory Scientist I in San Joaquin County. 

Please describe your Clinical Laboratory Scientist experience. When providing examples of your work, please indicate:

  • Job Title
  • Employer's Name
  • Dates of Employment
  • Hours worked per week

Possession of a valid license as a Clinical Laboratory Scientist issued by the State of California Department Health is required.

Please indicate the below information:

  1. License number
  2. Expiration date

Note: License will be verified.