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Human Resources Department
#21-333160-01
Supplemental Questionnaire

Last Name First Name
 
 

I understand that this position requires the following documents:

  • Copy of my MD or DO Degree (or transcripts which verify student, institution, date and degree conferred)
  • Copy of my valid license to practice medicine in California issued by the Board of Medical Examiners
  • Copy of my valid certificate by a specialty board recognized by the American Medical Association or the American Osteopathic Association 

I will be submitting these documents in the following manner:
Uploading to my online application prior to submittal
Emailing to recruitment@solanocounty.com
Faxing to (707) 784-3424