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#PEX-3410-901973
Supplemental Questionnaire

Last Name
First Name

 

3410 Apprentice Gardener - Supplemental Questionnaire

The following supplemental questions are intended to assist us in gathering as much relevant and detailed information as possible in order to evaluate your application.


1.

I meet at least one of the following requirements to attend City College of San Francisco:

I am eighteen years old or older.
I am a high school graduate.
I am the equivalent of a high school graduate. i.e. I have passed GED or a state's high school proficiency examination
I am not eligibile to attend City College of San Francisco
Other
2.

If you selected 'Other' in the question above, please explain how you meet elibility to attend City College of San Francisco.

3.

Indicate the selection that best matches your highest level of education:

I do not possess a high school diploma, G.E.D. or equivalent
High School Diploma/G.E.D./equivalent
Some college
Associate Arts Degree (AA)
Baccalaureate degree (BA/BS)
Graduate degree or higher
4.

Please describe any education (degrees or certifications) you possess beyond a high school diploma or equivalent.  If none, please indicate "N/A" in the box below.

5.

I possess a valid California Class C driver's license.

Yes No
6.

Indicate the total amount of verifiable experience you possess in the care and maintenance of landscaped general ground areas:

No experience, but I am willing to learn
Less than 6 months of experience
6 months to 11 months of experience
1 year or more years of experience
7.

If you indicated some experience in question 6 above, please describe the duties performed in the care and maintenance of landscaped general ground areas, including dates of employment, work location, and supervisor/manager telephone or email contact information. If you do not possess any experience, please indicate "N/A" in the box below.

 

8.

I understand I must provide verification of experience in the care and maintenance of landscaped general grounds as described above.  Verification must be on employer's official letterhead, specifying name of applicant, job titles(s), duties performed, dates of service, hours worked, and must be signed by the employer or the employer's authorized representative. Verification of experience will be submitted on or before October 31, 2016, 5:00 pm.

Yes
No
N/A
9.

Indicate the total amount of verifiable experience you possess as a journey level tradesperson in construction or industrial field.

No experience
Less than 6 months of experience
6 months to 11 months of experience
1 year or more years of experience
10.

If you indicated some experience in question 9 above, please describe the duties performed as a journey level tradesperson in construction or industrial field, including dates of employment, work location, and supervisor/manager telephone or email contact information.  If you do not possess any experience, please indicate "N/A" in the box below.

11.

I UNDERSTAND THAT FAILURE TO SUBMIT ALL REQUIRED VERIFICATION ON OR BEFORE OCTOBER 31, 2016, 5:00 PM MAY RESULT IN REJECTION OF THE APPLICATION.

Experience claimed in self-employment will only be considered if supported by documents verifying earnings, and duties comparable to minimum qualifications listed above. Applicant must indicate details of all duties and experience used to meet the minimum qualifications on the application. Copies of income tax records, business license or other documents listing occupation and total earnings must be submitted.

Verification of experience may be waived if impossible to obtain. The applicant must submit a signed statement explaining the reason for the request for waiver. Waiver requests will be considered on a case-by-case basis. Failure to submit all required verification or request for waiver by the filing deadline may result in the rejection of the application.

Yes No
 

CERTIFICATIONBy completing this form, I certify that my responses are true and complete to the best of my knowledge. I understand and agree that any information provided is subject to verification. I also understand that falsification of this record may result in my disqualification or dismissal from employment with the City and County of San Francisco.