Do you possess at least one year paid work experience as a Physical Therapist in San Joaquin County?
Yes
No
If you answered yes to question #1, identify your position title and your employment timeline.
2.
PATTERN II:
Do you possess at least two years of progressively responsible paid work experience as a licenced Physical Therapist performing diagnostic and therapeutic physical therapy techniques for a variety of disabling conditions.
Yes
No
If you answered yes to question 2, identify the following:
Job title
Name of employer
Employment timetime
Duties/reponsibilites performed specifically experience performing diagnostic and therapeutic physical therapy
3.
Do you possess a current license as a Physical Therapist issued by the Physical Therapy Board of California (PTBOC)?
Yes
No
If you answered yes to question #3, identify your current PTBOC issued Physical Therapist license and the expiration date.