Official SealSan Joaquin County Human Resources Division


#1221-RM0860-AC
Supplemental Questionnaire

Last Name
First Name
1.

Did you graduate from an accredited four year college or university with a major in Business Administration, Public Administration, Biological Science, Nursing or a related field?

Yes No
 

If you answered yes, please provide the following information:

  • Name of college or university from which you graduated
  • Degree obtained
  • Major
2.

This position requires 3 years of full-time supervisory experience in sterile processing, operating room, surgical nursing or institutional materiel management operations and staff, preferably in an acute care hospital. Please provide a detailed description of your full time supervisory experience.

Include in your response:

  • Name of Employer
  • Job Title
  • Your supervisory role and responsibilities
  • Number of staff supervised
  • Dates of employment, hours worked per week

 

3.

A Master's degree in Business Administration, Public Administration, Biological Science, Nursing or related field may substitute for one year of the required experience.  Do you possess a Master's degree in one of the educational areas listed?

Yes No
 

If you answered yes, please provide:

  • Name of college or university from which you graduated
  • Degree obtained
  • Major
4.

Certification in sterile processing/central service techniques issued by the Certification Board for Sterile Processing and Distribution (CBSPD), the California Central Service Association (CCSA) or an agency acceptable to the County may substitute for one year of the required experience.

Please identify certifications that you possess below:

Note: Please submit copies of all certifications with the completed employment application when prompted to attach a resume, or send via email to alhandelman@sjgov.org.

5.

Additional qualifying supervisory experience may substitute for the required education on a year for year basis to a maximum of 2 years.

If you want to use this substitution pattern, please provide a detailed description of your supervisory experience and include in your response:

  • Name of Employer
  • Job Title
  • Your supervisory role and responsibilities
  • Number of staff supervised
  • Dates of employment, hours worked per week