Official SealSan Joaquin County Human Resources Division


#0118-RH5352-AC
Supplemental Questionnaire

Last Name
First Name

 

This recruitment for Respiratory Care Practitioner is being conducted to fill one pm shift position.  The first certification may be promotional.  To qualify to be referred as promotional from the open eligible list, candidates must meet the minimum qualifications as well as the the promotional eligibility requirements per Civil Service Rule 10, Section 3.
1

Do you possess a valid Respiratory Care Practitioner license issued by the State of California Respiratory Care Board?

A copy of the license must be submitted with the employment application.  Or, a copy may be sent to msneed@sjgh.org or faxed to 209-468-6271.
Yes No
1a

If you answered yes, please provide your license number below.
2

Please indicate the number of years of full-time (40 hours per week/2080 total per year) paid respiratory care practitioner experience you possess.
less than 1 year
more than 1 but less than 2 years
more than two but less than 3 years
more than three years
I do not possess paid respiratory care practitioner experience
2a

Please provide the following information regarding your respiratory care practitioner experience:

  • Job Title
  • Employer
  • Dates of employment
  • Number of hours worked per week
  • Specific job duties performed
2b

Please indicate if you possess experience in the following:
Intubating infants
Intubating adults
Transporting critically ill babies
All of the above
None of the above
3

By clicking on the box, I acknowledge and accept that an offer of employment as a Respiratory Care Practitioner Supervisor 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.
4

Position(s) may rotate or be assigned to the Medical Guarded Unit. As a condition of employment, candidates assigned to the Medical Guarded Unit must successfully pass a California Department of Corrections (CDCR) background investigation conducted by the California Depatment of Corrections and Rehabilitation. Candidates must also maintain their CDCR clearance for continued employment in this unit. Please check the box to acknowledge you understand and will comply with the above terms.
Yes, I acknowledge and understand the above terms.
5

San Joaquin General Hospital is a 24/7 running facility. The initial vacancy is scheduled for the pm shift, 2:00pm-10:30pm.  Please indicate below whether or not you would be interested in this pm shift position.

Note: Indicating "no", will not preclude you from participating in the selection process if you meet the minimum qualifications.  However, only candidates who receive scores that place them in the top ranks on the eligible list and responded "yes" will be referred to the department for this initial vacancy.  All other eligibles will remain on the eligible list for future opportunities.
Yes No