You are applying for a position in Correctional Health Services, which provides health care to adult inmates at the San Joaquin County jail facility.
A candidate must successfully pass the security clearance, initiated through a background investigation conducted by the Sheriff’s Office. The background investigation requires the completion of an extensive questionnaire called “Personal History Questionnaire” and is used by the Sheriff’s Office to conduct the background investigation.
The security clearance is a mandatory condition of employment, and the loss of the security clearance will result in termination from County employment in accordance with the rules and regulations governing County employment.
1
Have you read the above information and understand that passing and maintaining a security clearance is a condition of employment?
Yes
No
2
The position requires completion of an accredited training program for Psychiatric Technicians for entrance to testing.
If you have completed a program, provide the name of the institution or college where you completed the program, the date you completed the program, and the name of the program.
Note: Prior to employment, must possess a valid license as a Psychiatric Technician issued by the California Board of Vocational Nurse and Psychiaric Technician Examiners.
3
Do you have a valid Psychiatric Technician License issued by the State of California?
Yes
No
3a
If you answered yes to question #3, provide your license number and expiration date.
4
Are you willing to submit to a background investigation conducted by the Sheriff’s Office?
Yes
No
5
Have you previously had a security clearance in a detention facility or law enforcement agency?
Yes
No
5a
If you answered yes, provide the name of employer and dates of employment.
6
Have you failed a security clearance in the past for a detention facility or law enforcement agency?
Yes
No
6a
If you answered yes, provide the name of employer and date you failed the security clearance.
7
Have you ever had a security clearance revoked while employed in a detention facility or law enforcement agency?
Yes
No
7a
If you answered yes, provide the name of the employer and the reason your security clearance was revoked.
8
Are you willing to work with adult inmates who are incarcerated?
Yes
No
9
Employment history is part of the background investigation process. Have you ever been terminated from a job or resigned from a job to avoid termination (not including involuntary layoff)?
Yes
No
9a
If you answered yes, provide the name of employer and date of separation
10
I understand that a thorough background investigation will be conducted as part of the selection process. I hereby certify that I have personally completed each question and that all statements are true and complete. I understand that any omissions or misstatements of facts may be considered deliberate falsification on my part, which will subject me to disqualification or, if discovered after my employment, to termination in accordance with County rules and regulations.
Yes
No
11
I understand that if I successfully pass the background investigation and obtain the security clearance, I will be expected to maintain my security clearance as a condition of my employment and failure to do so will result in the termination of my employment with the County in accordance with County rules and regulations.
San Joaquin County Human Resources Division