Have you completed an approved Nurse Practitioner training program at an accredited college or university, or another approved certified program?
Yes
No
2.
Do you have a Bachelor's Degree in Nursing or a related field?
Yes
No
Please ensure this is CLEARLY indicated in the Education section of your application.
3.
Are you currently registered as a nurse and certified as a Nurse Practitioner in the State of California?
Yes
No
4.
Do you currently possess a furnishing license through the State of California, Board of Registered Nursing?
Yes
No
Please ensure this is CLEARLY indicated in the Professional Licenses, Certifications, or Registrations section of your application.
5.
Please indicate how many years of full-time experience you have as a Nurse Practitioner:
Two years or more
Five years or more
Neither
If yes, please ensure this is CLEARLY demonstrated in the Employment Experience section of the application.
6.
By checking this box, I acknowledge that:
1) In order to practice at San Joaquin General Hospital, I must be credentialed and granted privileges through the San Joaquin General Hospital Committee on Interdisciplinary Practice (CIDP) within ninety (90) days of appointment and in accordance with medical staff bylaws and state regulations.
2) I may be granted temporary privileges by the Medical Director or designee, pending Committee Interdisciplinary Practice approval.
3) I may be certified only to job vacancies in the area of specialization in which I possess specialized education and certification.