You are applying for a position in Correctional Health Services, which provides health care to adult inmates at the San Joaquin County jail facility.
A candidate must successfully pass the security clearance, initiated through a background investigation conducted by the Sheriff’s Office. The background investigation requires the completion of an extensive questionnaire called “Personal History Questionnaire” and is used by the Sheriff’s Office to conduct the background investigation.
The security clearance is a mandatory condition of employment, and the loss of the security clearance will result in termination from County employment in accordance with the rules and regulations governing County employment.
1.
Are you interested in Temporary positions with Correctional Health?
Yes
No
2.
Are you interested in Per Diem positions with Correctional Heath?
Yes
No
3.
Do you possess a valid license as a Vocational Nurse issued by the State of California, Board of Vocational Nurse and Psychiatric Technician Examiners or a valid Interim Permit issued by the Board?
Note: A copy of the license or permit mustbe submitted with the employment application.
Yes
No
4.
Have you read the above information and understand that passing and maintaining a security clearance is a condition of employment?
Yes
No
5.
Are you willing to submit to a background investigation conducted by the Sheriff’s Office?
Yes
No
6.
Have you previously had a security clearance in a detention facility or law enforcement agency?
Yes
No
If you answered yes, provide the name of employer and dates of employment.
7.
Have you failed a security clearance in the past for a detention facility or law enforcement agency?
Yes
No
If you answered yes, provide the name of employer and date you failed the security clearance.
8.
Have you ever had a security clearance revoked while employed in a detention facility or law enforcement agency?
Yes
No
If you answered yes, provide the name of the employer and the reason your security clearance was revoked.
9.
Are you willing to work with adult inmates who are incarcerated?
Yes
No
10.
Employment history is part of the background investigation process. Have you ever been terminated from a job or resigned from a job to avoid termination (not including involuntary layoff)?
Yes
No
11.
If you answered yes, provide the name of employer and date of separation
12.
Disclosure of criminal history is part of the background investigation process. As an adult, have you ever been convicted for an offense other than a minor traffic violation?
No Convictions
Misdemeanor
Felony
If the Felony or Misdemeanor box was checked, please list date and nature of the offense
I understand that a thorough background investigation will be conducted as part of the selection process. I hereby certify that I have personally completed each question and that all statements are true and complete. I understand that any omissions or misstatements of facts may be considered deliberate falsification on my part, which will subject me to disqualification or, if discovered after my employment, to termination in accordance with County rules and regulations.
Yes
No
I understand that if I successfully pass the background investigation and obtain the security clearance, I will be expected to maintain my security clearance as a condition of my employment and failure to do so will result in the termination of my employment with the County in accordance with County rules and regulations.
Yes
No
This position requires that you are available for PM and Night Shifts for up to 30 hours per week. Please confirm below that you are available to work during these times.
If you are referred for the position and then indicate that you are unable to work these shifts, you may not be referred for future vacancies.
San Joaquin County Human Resources Division