THE SUPPLEMENTAL QUESTION ARE DESIGNED SPECIFICALLY FOR THIS RECRUITMENT. APPLICATIONS RECEIVED WITHOUT THE REQUIRED SUPPLEMENTAL INFORMATION WILL BE SCREENED OUT OF THE SELECTION PROCESS.

Employment/internship experiences referred to in your response must also be included in the Employment History Section of the application.

1.

Describe your experience to demonstrate completion of internship and three years (full-time) of psychiatric residency approved by the American Medical Association or the American Osteopathic Association.

2.

Please indicate if you have experience in any of the following areas:

Leadership role such as a Chief Resident or Medical Director

Consultation/Liaison Psychiatry

Substance Abuse

Forensic (working patients in juvenile hall, jail, prison, or on probation, etc)

Older Adults (age 60 and above)

Transitional Age Youth (ages 18-24)

Seriously Mentally Ill Adults

Children and Youth

Outpatient Psychiatry

Inpatient Psychiatry

	Santa Cruz County Personnel Department

	#17-PR5-01
	Supplemental Questionnaire


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