Official SealSan Joaquin County Human Resources Division


#0723-RH6004-FL
Supplemental Questionnaire

Last Name
First Name
 

LICENSE AND CERTIFICATION

Please provide your current license number as an Occupational Therapist issued by the California Board of Occupational Therapy:

 

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 an Occupational Therapist performing diagnostic and therapeutic occupational 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
 

OCCUPATIONAL THERAPIST - CLINICAL SPEC

SPECIAL REQUIREMENT: 

Applicants must possess occupational therapy training in a specialized treatment area or technique such as hand therapy, sensory integration, or other specialized area as approved by the Department of Health Care Services or San Joaquin General Hospital.

 

Please provide a list of specialized treatment areas and techniques and any certification numbers that may be associated.

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