Official SealSan Joaquin County Human Resources Division


#0123-RH2075-DP
Supplemental Questionnaire

Last Name
First Name
 

This is a department promotional recruitment. In addition to meeting the minimum qualifications, applicants must be currently employed by San Joaquin General Hospital as well as meet the promotional eligibility requirements as stated in Civil Service Rule 10, Section 3-Eligibility for Promotional Examinations. 

Are you currently employed by San Joaquin General Hospital?
Yes No
1.

Do you have One year of experience performing haemodialysis in a dialysis center of acute care hospital setting?

If yes, please be sure to complete the employment history portion of the application in as much detail as possible. 
Yes No
2.

Do you currently possess current certification as a Certified Hemodialysis Technician issued by the State of California Professional Certification Branch for Aids and Technicians?

If yes, please attach a copy of your certification when prompted to attach a resume.
Yes No
3.

Do you currently possess a valid California Driver's License?
Yes No