Official SealSan Joaquin County Human Resources Division


#0123-RH2050-01
Supplemental Questionnaire

Last Name
First Name
1.

Do you have one (1) year of experience equivalent to Nursing Assistant with San Joaquin County?
Yes No
2.

Have you successfully completed a Cardiac Rhythm Recognition course (12 hours or more class duration)?

Please attach proof of completion when prompted to attach a resume.
Yes No