Official SealSan Joaquin County Human Resources Division


#0224-RH5353-PC
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess at least one year of full-time (40 hours per week/2080 hours) paid experience as a licensed respiratory care practitioner?
Yes No

 

If yes, please ensure this is CLEARLY demonstrated in the Employment Experience section of the application. 
2.

Please provide your Respiratory Care Practitioner license number. (Write "none" if you do not possess a valid California Respiratory Care Practitioner license.)
3.

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