San Joaquin County Human Resources Division

Please submit responses to the following questions along with your employment application to the San Joaquin County Human Resources Division. Number your responses, address each question separately, and limit one page per question. Please provide a detailed description of your experience includingthe name of your employer, position title, and dates of employment. These questions will be reviewed in evaluating your qualifications.

Copies of the required license and certificates must be submitted with the completed employment application. They may be submitted when prompted for a resume, emailed to msneed@sjgh.org, or faxed to 209-468-6271.

Please provide in detail your supervisory experience directly related to inpatient nursing departments in an acute care hospital or trauma facility. Include the size of the hospital and/or trauma facility, your role/job title, and dates and location of your assignment.

Please describe your experience in the development/preparation of departmental financial (budgetary) documentation. Include identification of the budget range (estimate dollar value), brief explanation of budget process, and budget due date (annual, semi-annual, etc). If you do not possess this experience, please note “N/A”.

Please describe any experience you possess in the area of departmental-level process/performance improvements and development of practices and/or principles related to patient safety.

Please describe your experience in working to improve patient satisfaction ratings and working with nursing administration to improve or maintain excellent patient service.

Please describe all of your RN clinical experience in an acute care hospital or trauma facility. Include the size of the hospital and/or trauma facility, your duties and the employment time frame.

Please provide your current RN license number so that it can be source verified with the California Board of Registered Nurses.

The following certifications are special requirements that applicants must possess. Check all that apply. Proof of completion must be submitted with employment application.

Please list any current national certifications that you possess.