Official SealSan Joaquin County Human Resources Division


#0120-RH0820-TM
Supplemental Questionnaire

Last Name
First Name
1

Do you possess at least 6 months of full-time (40 hours per week/1040 hours) paid Stock Clerk experience in an acute care hospital which included receiving supplies?
Yes No
1a

From the following, indicate the duties for which you were responsible for performing as a Stock Clerk in an acute care hospital. (Select all that apply)
Maintain and re-stock supplies
Assist in a central supply unit
Distribute medical equipment and supplies
Keep routine records and reports
Pick up and deliver a variety of materials to various locations
Check goods received against invoices
Maintain records of stock received and issued
None of the above
All of the above
2

Provide the specific duties performed as a Stock Clerk in an acute care hospital. Include the following information:

  • Name of acute care hospital
  • Dates of employment (from/to)
  • Number of hours worked per week