Official SealSan Joaquin County Human Resources Division


#0219-RH0820-TM
Supplemental Questionnaire

Last Name
First Name
1

Do you possess at least 6 months of full-time (40 hours per week/1040 hours) paid Stock Clerk experience in an acute care hospital which included receiving supplies?

Yes No
1a

From the following, indicate the duties for which you were responsible for performing as a Stock Clerk in an acute care hospital. (Select all that apply)

Maintain and re-stock supplies
Assist in a central supply unit
Distribute medical equipment and supplies
Keep routine records and reports
Pick up and deliver a variety of materials to various locations
Check goods received against invoices
Maintain records of stock received and issued
None of the above
All of the above
1b

Provide the specific duties performed as a Stock Clerk in an acute care hospital. Include the following information:

  • Name of acute care hospital
  • Dates of employment (from/to)
  • Number of hours worked per week
2

This position requires nights and weekends on a rotating basis. Indicate below your available to work this schedule.

I understand that the work schedule includes working nights and weekends on a rotating basis and am available to work this schedule.
I am unable to work nights and weekends which is a requirement of this position.
 

This position is a temporary position, limited in duration, and the assignment may conclude in October. Please indicate below that you have read this and understand that this is a limited duration assignment.

Yes, I understand that this is a limited duration assignment and am interested in the employment opportunity.