Please complete the following supplemental questionnaire. This questionnaire is considered an extension of your employment application and will be reviewed to help assess your qualifications. Resumes are not accepted in lieu of completing this questionnaire.
1.
PATTERN I
Do you possess a bachelor's or higher degree from an accredited college or university with a degree in Psychology, Social Work, Nursing or related Social Science?
Yes
No
If you answered Yes, please provide the following information:
Name of college or university from which you graduated
Degree obtained
Major
If you do not possess a bachelors or higher degree, please complete the questions below.
2.
PATTERN II
If you do not possess a bachelor's or higher degree, have you completed 45 semester or the equivalent quarter units from an approved college or university, with a minimum of thirty (30) semester or equivalent quarter units in Psychology, Social Work, Nursing or related Social Science?
Yes
No
If you answered Yes, please be sure that your total number of units and the name of the educational institution(s) from which you obtained your units are clearly identified in the education section of this application.
3.
Please provide the names of the courses you have completed in Psychology, Social Work, Nursing, or related social science and the number of units received (indicate if semester or quarter units). Please include the name of the college or university from which you obtained your units. A minimum of 30 semester or equivalent quarter units in the areas listed is required.
4.
Do you possess at least two (2) years of full-time paid work experience providing client services in a mental health hospital or social service area?
Yes
No
If you answered Yes, please describe your two years of full-time paid work experience providing client services in a mental health hospital or social service area. Include the name of your employer, employment dates, job title, number of hours worked per week, and a specific description of the duties you performed.
5.
Please indicate if you are willing to work the following shifts: (Note: You may select more than one category)
Days only
Rotating shifts only
Both day and rotating shifts
6.
Please indicate if you are interested in part-time employment.
Note: If you are referred and selected for part-time employment, your name will still remain active on the eligible list for future referral for full-time positions.
San Joaquin County Human Resources Division