Job Application Package Checklist

When applying for this job, include the items provided below in your application package. When submitting a hard copy application (by mail or drop off), this completed form should be printed and submitted as the first page of your application package for proper processing.

Applicant Information

Name: CalCareer ID:
Address:
 
Phone:

Job Information

Job Control: JC-332728
Classification: HEALTH FACILITIES EVALUATOR II (SUPERVISOR)
Department: Department of Public Health
Location: Orange County Tenure/Timebase: Permanent Fulltime
Filing Deadline: 12/16/2022

Required Items

Indicate if you have included or completed each item listed.

ItemRequisiteComplete
Job Application Package ChecklistRequired
Employment Application Form (STD678)Required
OtherRequired