Official SealSan Joaquin County Human Resources Division


#0424-RH3200-DP
Supplemental Questionnaire

Last Name
First Name
1.

Have you completed a Medical Assistant training program?
Yes No

 

Please attach certificate of completion or transcripts.
2.

Do you possess a valid California Class C driver's license?
Yes No
 

License Number AND Expiration Date 
3.

In order to qualify, applicants must be currently employed by San Joaquin General Hospital and meet additional eligibility requirements as stated in Civil Service Rule 10, Section 3- Eligibility for Promotional Examinations.

Are you currently employed by San Joaquin General Hospital?
Yes No
 

If yes, please provide:

1. Employee ID Number
2. Current job title
3. Current department