Official SealSan Joaquin County Human Resources Division


#0123-RM0860-AC
Supplemental Questionnaire

Last Name
First Name
1.

Did you graduate from an accredited four year college or university with a major in Business Administration, Public Administration, Biological Science, Nursing or a related field? If yes, please be sure to completed the education portion of the application in detail. 

Yes No
2.

Do you possess 3 years of full-time supervisory experience in sterile processing, operating room, surgical nursing or institutional material management operations and staff, preferably in an acute care hospital? If yes, please be sure to completed the work experience portion of the application in detail. 

Yes No
3.

A Master's degree in Business Administration, Public Administration, Biological Science, Nursing or related field may substitute for one year of the required experience.  Do you possess a Master's degree in one of the educational areas listed?  If yes, please be sure to completed the education portion of the application in detail. 

Yes No
4.

Certification in sterile processing/central service techniques issued by the Certification Board for Sterile Processing and Distribution (CBSPD), the California Central Service Association (CCSA) or an agency acceptable to the County may substitute for one year of the required experience.

Please identify certifications that you possess below:

Note: Please submit copies of all certifications with the completed employment application when prompted to attach a resume, or send via email to alhandelman@sjgov.org.

5.

Additional qualifying supervisory experience may substitute for the required education on a year for year basis to a maximum of 2 years. Do you need to use this substitution pattern to meet the minimum qualifications? 

If you want to use this substitution pattern, please be sure to complete the employment experience portion of the application in detail. 

Yes No