Important! A copy of all certifications must be submitted with a completed employment application. If you are not able to upload as an attachment when submitting your on-line application, please fax a copy of each certification to 209/468-6271, attn: Christy Sanders.
1.
Are you currently licensed as a registered nurse in the State of California?
Yes
No
If yes, please provide your RN license number and expiration date. Note: Information provided will be source verified.
2.
Do you possess a National Certification?
Yes
No
If yes, please identify the type of certification, certifying agency and expiration date below:
3.
Please indicate the following degree(s) you possess from an accredited college/university:
Note: This information should be clearly identified in the Education section of the employment application.
Bachelors degree - Nursing (BSN)
Masters degree - Nursing (MSN)
Note of the above
4.
Do you possess at least two years of full-time paid RN experience in an acute care hospital, Progressive Care Unit?
Yes
No
If yes, describe your journey-level RN duties performed.
Include the following in your response:
Name of Employer
Dates of Employment (Month/Day/Year)
Number of hours worked per week
5.
Describe your experience as a charge nurse or nursing supervisor. Include in your answer, the acute care unit you obtained your experience. If no experience, please indiate by noting "none".
6.
Prior to employment, candidates must successfully pass a pre-employment drug screening and pre-employment physical health exam. Please note that as a condition of employment, candidates selected must successfully pass a California Department of Corrections and Rehabilitation (CDCR) background investigation conducted by the CDCR. Candidates must maintain their CDCR clearance for continued employment in these units.
Please check the box to acknowledge you understand the above terms.
San Joaquin County Human Resources Division