Official SealSan Joaquin County Human Resources Division


#0421-RP5010-AC
Supplemental Questionnaire

Last Name
First Name

 

Please complete the following supplemental questionnaire. This is an important part of your application package that will allow us to thoroughly assess and evaluate your qualifications for the position.  When responding to the questions related to your experience, please provide a detailed description that includes the name of your employer, dates of employment, and job title.   


1.

Do you possess a Bachelor’s Degree from an accredited college in Biology, Criminal Justice, Forensic Science, Mortuary Science or a related field.

Yes No
 

If you answered Yes, please provide the following information:

  • Name of school from which you graduated
  • Degree obtained
  • Major

 

If you answered no, additional qualifying experience can substitute for the required education on a year for year basis.


2.

Please describe in detail your experience in a medical, nursing, or investigative field, Medical Examiner's Office or Coroner's Office.

The experience must include working with deceased persons and/or their families, investigating, interviewing individuals, and preparing detailed written reports for law enforcement, medical, or other related agencies.

Include the name of your employer, your job title, dates of employment, and number of hours worked per week.

3.

Based on the experience listed in the question above, please explain your role in conducting investigations of deceased individuals.

4.

This position requires a valid California Driver's License. Provide the number and expiration date of your license below:

5.

Do you possess valid certification from American Board of Medicolegal Death Investigation?

(If you answer yes, please either attach to your application or submit via email to anlarieau@sjgov.org

Yes No

 

Special Requirement: 1) Completion of an approved course of instruction in death investigation, such as California POST Coroner's Death Investigation course or equivalent, is required within one (1) year of appointment. 2) Completion of a POST certified PC 832 course is required within one (1) year of appointment. Failure to meet these requirements shall result in a release from employment.