Official SealSan Joaquin County Human Resources Division


#0818-RI1104-01
Supplemental Questionnaire

Last Name
First Name
1.

PATTERN I

Do you possess one year of full-time, paid experience as an Information Systems Analyst III in San Joaquin County?

Yes No
2.

PATTERN II

Have you graduated with a Bachelor's Degree from an accredited college or university with a major in computer science, information systems, mathematics, business administration or a related field?

Yes No
2a.

If you answered "Yes" to Question No. 2, please provide the college/university you graduated from and the major for which you received your degree.

2b.

If you answered "No" to Question No. 2, please provide the total number of units completed, your major and the college/university you attended.

3.

Please provide information regarding your three years of increasingly responsible, professional, analytical computer and related systems work experience in an information systems environment.

Provide the name of your employer, dates of employment, the number of hours worked per week and a detailed description of the duties you performed.

4.

SUBSTITUTION PATTERN #1

(Complete only if you do not possess a Bachelor's degree)

Possession of an approved information systems technology certificate may substitute for all or part of the the required education. Please list the IT certificates that you possess. (List of approved certificates and/or courses is available here)

5.

SUBSTITUTION PATTERN #2

Additional qualifying experience may substitute for the above-required education (Bachelor's degree) on a year-for-year basis to a maximum of two years.  Please provide the name of your employer, dates of employment, number of hours worked per week and a detailed description of the job duties you performed.


6.

YOUR ANSWERS TO THE FOLLOWING QUESTIONS WILL BE USED TO REVIEW YOUR EXPERIENCE AND WILL NOT BE USED TO DETERMINE WHETHER YOU MEET MINIMUM QUALIFICATIONS.


7.

Do you possess professional analytical computer and related systems work experience in a public hospital setting?  If yes, identify the following:

  • Name of the hospital
  • Duties performed
  • Dates of employment

 

8.

Check the box if you possess hands-on experience with the following tools/systems?

Electronic Medical Records/Electronic Health Records
Business Intelligence Markup Language (BIML)
SQL Server Integration Services (SSIS)
I have no hands-on experience with any of these tools/systems
9.

Do you possess a working understanding of HIPAA regulations applicable in a hospital setting?

Yes No