San Joaquin County Human Resources Division
#0518-RH0852-01
Supplemental Questionnaire
| Last Name | |
|---|---|
| First Name |
|
1 This is a departmental promotional recruitment. Qualified applicants must be currently employed with San Joaquin General Hospital and meet the promotional eligibility requirements as stated in Civil Service Rule 10, Section 3 - Eligibility for Promotional Examinations. Are you currently employed by San Joaquin General Hospital? |
| Yes No |
|
2 Do you possess at least one year of full-time paid experience equivalent to a Sterile Processing Technician I in San Joaquin County service? |
| Yes No |
|
3 Please indicate if you have successfully completed one of the following training programs. Clearly identify the program completed in the Education section of the application. A copy of certificate of completion must be submitted with the employment application. It can be added when prompted for a resume, sent to msneed@sjgh.org, or faxed to (209) 468-6271. |
| Medical instrument technician training program |
| Sterile processing technician training program |
| None of the above |
|
4 SUBSTITUTION Please indicate if you possess certification in sterile processing techniques issued by one of the following agencies. Note: This will substitute for the required education. |
| National Institute for the Certification of Healthcare Sterile Processing (NICHSPDP) |
| California Central Service Association (CCSA) |
| I do not possess a certificate from the agencies listed above. |