Official SealSan Joaquin County Human Resources Division


#0123-RH6204-FL
Supplemental Questionnaire

Last Name
First Name
 

LICENSE AND CERTIFICATION

Please provide your current license number as a Physical Therapist by the Physical Therapy Board of California (PTBOC):

 

COUNTY SERVICE

If you currently work or have worked for San Joaquin County in the past, please provide your employee ID number:

Note: To avoid delays in the application review process, please ensure that you provide your full work history and tasks performed under the Employment Experience tab. If you are not a current employee or have not worked for San Joaquin County, please type "N/A".

 

WORK EXPERIENCE

Please indicate the amount of progressively responsible experience as a Physical Therapist performing diagnostic and therapeutic physical therapy techniques for a variety of disabling conditions.

Note: To avoid delays in the application review process, please ensure that you provide your full work history and tasks performed under the Employment Experience tab. 

At least two (2) years, but less than three (3)
More than three (3) years
Less than two (2) years
 

PHYSICAL THERAPIST - CLINICAL SPEC

SPECIAL REQUIREMENT: 

Applicants must possess certification in a specific treatment technique such as neurodevelopmental treatment, infant massage, Folsom Manual Therapy, or other techniques as approved by and certification acceptable to the Department of Health Care Services or San Joaquin General Hospital;

OR

Possess a certification as a specialist with the American Board of Physical Therapy Specialties or other recognized specialty boards.

Please provide your certificate or account number for your certification as a specialist with the American Board of Physical Therapy Specialties or other recognized specialty boards.

If your certification cannot be verified online, please attach a copy of your certification to this application or email it to rocastro@sjgov.org.