Official SealSan Joaquin County Human Resources Division

Supplemental Questionnaire

Last Name
First Name

Do you have two years of clerical work with primary responsibility for contacting debtors to obtain payments of delinquent accounts in an acute care hospital setting, including one year experience at a level comparable to Collections Clerk II in the San Joaquin County.

Yes No

Please list the name of the Acute Care Hospital you have experience working at.