The following Licenses/Certifications are all required to qualify for this position: RN License, Nurse Practitioner Certification and current Furnishing License all with the CA Board of Registered Nursing. Please provide the license/certification number for each so that it can be source verified by Human Resources. If you do not possess the license/certification, please note "N/A" in the text box:
California Registered Nurse License:
Nurse Practitioner Certification Number:
Furnishing License Number:
2.
Do you have a Bachelor's Degree in Nursing or a related field?
Yes
No
3.
Have you completed an approved Nurse Practitioner training program at an accredited college or university, or another approved certified program?
Yes
No
Please ensure this is CLEARLY indicated in the Education section of your application.
4.
Do you possess National Certification? If yes, identify below the certification number and speciality area.
5.
How many years of full-time Nurse Practitioner experience do you have?
Less than four years
Four years or more
Five years or more
If yes, please ensure this is CLEARLY demonstrated in the Employment Experience section of the application.
6.
By checking this box, I acknowledge the following:
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. If I am a new employee, I may be granted temporary privileges by the Medical Director or designee, pending Committee Interdisciplinary Practice approval
2) I may be certified only to job vacancies in the area of specialization in which I posses specialized education and certification.
3) Successful completion of approved nursing training programs, possession of specific nursing experience or the possession of specified professional certificates may be required depending on the nature of the area of assignment.
San Joaquin County Human Resources Division