Official SealSan Joaquin County Human Resources Division


#0617-RH8502-AC
Supplemental Questionnaire

Last Name
First Name

 

Please complete the following supplemental questionnaire. This questionnaire is considered an extension of your employment application and will be reviewed to help assess your qualifications. Resumes are not accepted in lieu of completing this questionnaire.


1.

Current registration as a Registered Dietitian with the American Dietetic Association is required for this position.  Please provide your registration number and expiration date.

2.

This position requires possession of a valid California driver's license.  Please provide your license number and expiration date.

3.

Do you have at least one year of full-time paid work experience providing community public health nutrition services for a public or private agency as a Registered Dietitian?

Yes No
 

If you answered yes, please describe your full-time paid work experience.  Include the name of your employer, dates of employment, job title, number of hours worked per week, and a detailed description of the specific duties performed.

4.

This is a first-line supervisor and lead nutritionist position.  Please describe any experience you may have as a lead and/or in the supervision of employees.

5.

Describe your experience in developing, implementing, and promoting a nutrition program.