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#CCT-3417-060208
Supplemental Questionnaire

Last Name
First Name

 

The purpose of this Supplemental Questionnaire is to identify your job-related experience, training and education in areas that are related to the job of Gardener.  To get started, please answer the following questions below.


 

I hereby certify that I am the sole author of this questionnaire and that all information presented is true and based on my background and experience. I understand that any false or incorrect statement may result in my disqualification or dismissal from employment with the City and County of San Francisco. I also understand and agree that any information provided is subject to verification.

Yes No
 

Please select ONE of the following: I certify that

I am currently employed in a State-approved (Division of Apprenticeship Standards) Gardener Apprenticeship program and have satisfactorily completed at least 2000 hours in this program. [Do NOT complete the rest of this questionnaire if you are currently employed in a State-approved Gardener Apprenticeship program.]
I possess at least three years of verifiable experience in the care, construction or maintenance of landscaped areas by planting, weeding, fertilizing, irrigating, pruning, and controlling pests in the following areas: sports and athletic natural turf fields, golf courses, parks, ornamental gardens, arboreta, greenhouses, nurseries, botanical gardens and/or public landscaped areas
I possess (1) a Certificate of Achievement from an accredited college or university in horticulture, landscaping, gardening, nursery and garden center operation, commercial cut flower and greenhouse production or related field AND (2) at least two years of verifiable experience in the care, construction or maintenance of landscaped areas by planting, weeding, fertilizing, irrigating, pruning, and controlling pests in the following areas: sports and athletic natural turf fields, golf courses, parks, ornamental gardens, arboreta, greenhouses, nurseries, botanical gardens and/or public landscaped areas.
I possess (1) an Associate of Arts or Science degree from an accredited college or university in horticulture, landscaping, gardening, nursery and garden center operation, commercial cut flower and greenhouse production or related field AND (2) at least 18 months of verifiable experience in the care, construction or maintenance of landscaped areas by planting, weeding, fertilizing, irrigating, pruning, and controlling pests in the following areas: sports and athletic natural turf fields, golf courses, parks, ornamental gardens, arboreta, greenhouses, nurseries, botanical gardens and/or public landscaped areas
I do not possess any combination of training, education and experience as described above
 

INSTRUCTIONS

The following section should ONLY be completed by those applicants who are not currently employed in a State-approved Gardener Apprenticeship program.  If you are currently in such a program, do NOT complete the following section.

Various tasks are listed that relate to the job of Gardener.  Please check the number of years of experience that you have performed each task, if appropriate.  After each task, please provide the employer(s) for whom you worked when you performed each task for which you are claiming experience.  In addition to the employer's name, you must also indicate the employer's address and a phone number of the employer, a supervisor with that employer or other contact person who can verify that you actually performed the task for the period of time that you indicate on the checklist.  Failure to provide this information for a given task will result in loss of credit for that task and may lower your overall score.  Consequently, you must complete your questionnaire properly to receive full credit.  

Note:  Any falsification or misrepresentation of work experience that you report on this questionnaire may not only lead to your disqualification with respect to this job opportunity, but it also may disqualify you for other current or future job opportunities with the City and County of San Francisco.

 

Task A: Prepare soil by amending, fertilizing, rototilling, grading, and spading to promote plant growth and to prevent drainage problems.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task B: Prune plants to promote growth and prevent plant deterioration.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task C: Irrigate plants and operate watering equipment and systems on lawn areas to promote lawn health.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task D:  Clear brush and debris, sweep, clean up litter, rake, weed, and perform general maintenance in large landscaped areas such as parks, squares, athletic fields, playgrounds, stadiums, thoroughfares, etc.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task E: Plant and/or transplant trees and shrubs.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task F: Operate power and manual mowing and edging equipment on lawns to promote lawn health.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task G:  Clear drains, prevent hazardous conditions and perform other general maintenance activities associated with safety and cleanliness in public areas such as easements, restrooms, playgrounds, etc.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task H: Identify and destroy pests and diseases on plants and/or lawn areas by performing techniques such as Integrated Pest Management (IPM) to control and/or mitigate the pests and diseases.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task I: Operate aerating equipment on lawns to promote lawn health.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task J: Operate fertilizing and seeding equipment on lawns to promote lawn health.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.

 

Task K: Identify and select plants for purposes of landscape design.

Less than 6 months of experience
Less than 18 months but more than 6 months of experience
More than 18 months but less than 3 years of experience
More than 3 years but less than 5 years of experience
More than 5 years of experience
 

Please provide the name of the employer(s), dates of employment, and contact information, including the supervisor's or contact person's name, address and phone number that can verify this work experience.