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. Stating "See Resume" will delay the processing of your application. Please be sure to complete your Employment Experience section of the application and provide a description of your PRIMARY duties.
1.
Pattern I:
To qualify under pattern I you must possess one year of experience assisting occupational, physical, or speech therapists in the provision of rehabilitative services to patients with physical, mental or developmental disabilities.
Do you possess one year of qualifying experience?
Yes
No
1a.
If you answered yes, please describe your qualifying experience in detail below. Include the name of your employer, your job title, dates of employment, and hours worked per week.
If you answered no, please proceed to Pattern II.
2.
Pattern II:
To qualify under pattern II you must possess six months experience as a Nursing Assistant, Public Health Assistant or comparable class in San Joaquin County.
Do you possess six months of qualifying experience in San Joaquin County service?
Yes
No
2a.
If you answered yes, please list the department you were employed in, your job title, dates of employment, and hours worked per week.
If you answered no, please proceed to Pattern III.
3.
Pattern III:
To qualify under pattern III you must have completed 24 semester units from an approved college or university with a minimum of 12 units in biology, nursing, chemistry, or a related field.
Please list your completed courses and number of units for each course:
San Joaquin County Human Resources Division