Official SealSan Joaquin County Human Resources Division


#0523-RH5352-AC
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess a valid Respiratory Care Practitioner license issued by the State of California Respiratory Care Board?
Yes No

 

Please ensure this is CLEARLY indicated in the Professional Licenses, Certifications, or Registrations section of your application. 
2.

Do you have a minimum of three years of experience as a respiratory care practitioner?
Yes No

 

If yes, please ensure this is CLEARLY demonstrated in the Employment Experience section of the application. 
3.

By clicking on the box, I acknowledge and accept that an offer of employment as a Respiratory Care Practitioner Supervisor is conditional upon my ability to provide proof of a high school diploma or equivalent as required by the California Association of Pathology for non-waive testing.