Official SealSan Joaquin County Human Resources Division


#0322-EH2150-EX
Supplemental Questionnaire

Last Name
First Name

 

In addition to the standard application, responses to the following questions will be required. Please submit responses along with your employment application to the San Joaquin County Human Resources Division.  These questions will be reviewed in evaluating your qualifications.


 

Do you possess a Bachelor's degree in Nursing, Health Science, Business Administration or closely related field?  If yes, please provide the University name and the Degree/Major obtained below:


 
NOTE: Substitution Pattern: A Master's degree in Nursing, Health Care Administration, Business Administration or closely related field may be substituted for one year of the desired experience.  If you will be using this as a qualifying pattern, please be sure to note the degree under the education portion of your employment application or resume.

 
Do you possess current registration as a Nurse in the State of California? If yes, please provide the license number and expiration date below:

 

For the questions below, please provide a detailed description of your experience including employer name, position title and dates of employment.


1
Please describe your experience in the implementation and administration of Trauma Programs. Include in your answer: the number of staff who reported directly to you, the scope of your administrative responsibilities, and the level of care maintained by the Trauma Program (Level II or Level III Trauma Center Standard of Care, etc).
2
Please describe your experience developing and implementing policies, guidelines and protocols for the care of trauma patients.
3
Please describe your Educator experience performing basic trauma critical care in-service training for nursing staff.
4
Please describe your experience developing and maintaining an annual Trauma Program budget.