San Joaquin County Human Resources Division

Please provide your California RN license number.

To qualify requires the possession of all of the following: Current Advance Cardiac Life Support (ACLS), BLS certification, certificate of completion of Trauma Nurse Core Curriculum (TNCC) and Pediatric Life Support (PALS) or Emergency Nurse Pediatric Course (ENPC). Check all certification(s) you possess below:

(Note: Copies of all certifications must be submitted with employment application in order to be considered.)

Do you currently possess the following? (Check all that apply)

Special Requirement: This position requires you to successfully complete the Emergency Medical Services Agency (SJEMSA), Mobile Intensive Care Nurse (MICN) and Trauma Care after Resuscitation Course (TCAR) or Transport Nurse Advanced Trauma Course (TNATC) within one year from date of employment with San Joaquin General Hospital.

Do you acknowledge and accept this as a condition of employment with San Joaquin General Hospital?

Please indicate if you possess a Bachelor's degree in one of the following fields/disciplines:

Please indicate if you possess progressively responsible advanced critical care registered nursing experience in a high volume (a minimum of 2500 ER visits per month) acute care hospital in one or more of the following departments:

Please indicate if you possess progressively responsible critical care registered nursing experience in one of the following positions:

Describe your advanced critical care registered nursing duties. Include in your answer:

1. Job title
2. Employer,
3. Dates of employment (mm/dd/yyyy to mm/dd/yyyy)
4. Number of hours worked per week
5. Specific unit(s) in which you worked
6. Brief description of the advanced registered nursing duties performed

If you were employed as a traveler/registry, each hospital to which you were assigned must be listed individually.