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#CBT-3283-070406
Supplemental Questionnaire

Last Name
First Name

 

3283 Recreation Specialist - Therapeutic Recreation

Supplemental Questionnaire
  

INSTRUCTIONS:  All applicants are required to complete the Supplemental Questionnaire as part of the online application process.  The purpose of this portion of the Supplemental Questionnaire is to determine if you meet the MINIMUM QUALIFICATIONS for class 3283 Recreation Specialist - Therapeutic Recreation position.  This information should be consistent with your application and is subject to verification as requested on the exam announcement.

**ALL APPLICANTS MUST SUBMIT VERIFICATION (PROOF) OF ALL QUALIFYING EDUCATION AND/OR EXPERIENCE AT THE TIME OF APPLICATION FILING.**

**FAILURE TO SUBMIT THE REQUIRED VERIFICATION MAY RESULT IN THE REJECTION OF YOUR APPLICATION.** 

Documentation should be uploaded with your application.  If you are unable to upload the verification document(s), you can scan and email the materials to RPD_Recruitment @sfgov.org, with the subject line: 3283 Therapeutic Recreation Verification.

 


1.

Please select the option that best matches your HIGHEST educational attainment.

High School Diploma / G.E.D.
Attended some college, but do not possess a degree
Completion of an Associate Degree from an accredited college/university
Completion of a Baccalaureate Degree from an accredited college/university
Completion of a Baccalaureate Degree from an accredited college/university with a concentration in Therapeutic Recreation
Completion of a Masters Degree from an accredited college/university
Completion of a Juris Doctorate Degree
None of the above
1a.

If you selected "Attended some college, but do not possess a degree" in Question #1 above, please indicate the total number of semester or quarter units you have completed.  If not applicable to you, type N/A in the box below.

1b.

Have you completed therapeutic recreation content coursework from an accredited institution program that meets the National Council for Therapeutic Recreation (NCTRC) standards as defined by the current NCTRC Job Analysis (www.nctrc.org)?

Yes No
1c.

If you are in the process of completing therapeutic recreation content coursework, indicate in the box below the number of semester or quarter units you have completed thus far?  If not applicable to you, type N/A.

1d.

Please provide the name(s) and location(s) of the institution(s) where you gained your education, if applicable.  If you selected "None of the above" to Question #1 above, type N/A in the box below.


 

NOTE: To verify your education as it relates to Questions #1-1d above, you must submit a copy of your degree or transcripts showing the number of semester or quarter units completed.  If you are unable to upload the verification document(s), you can scan and email the materials to RPD_Recruitment@sfgov.org, with the subject line: 3283 Therapeutic Recreation Verification.


2.

If you DO NOT possess at least an Associate Degree OR  60 semester/90 quarter units, how much verifiable experience do you have leading recreational activities?

NOTE: Experience is calculated in hours worked

I do possess at least an Associate Degree OR 60 semester units/90 quarter units.
I do not have any experience leading recreational activities
I have less than 2,000 hours worked leading recreational activities
I have a minimum of 2,000 hours worked to a maximum of 2,999 hours worked leading recreational activities
I have a minimum of 3,000 hours worked to a maximum of 3,999 hours worked leading recreational activities
I have a minimum of 4,000 hours worked to a maximum of 4,999 hours worked leading recreational activities
I have a minimum of 5,000 hours worked to a maximum of 5,999 hours worked leading recreational activities
I have 6,000 or more hours worked leading recreational activities
2a.

Describe your experience leading recreational activities as it relates to your answer in Question #2 above.  Please include the name of the employer(s), dates of employment, and HOURS WORKED (FOR EACH POSITION) where you gained the experience.  If not applicable to you, type N/A in the box below.

NOTE: To verify your experience leading recreational activities, you must submit a signed letter from your previous and/or current employer on official company letterhead with your name, dates of employment, HOURS WORKED, JOB TITLE(S), and DUTIES PERFORMED for EACH POSITION.  If you are unable to upload the verification document(s), you can scan and email the materials to RPD_Recruitment@sfgov.org, with the subject line: 3283 Therapeutic Recreation Verification.

3.

How much verifiable experience do you have planning and implementing recreation programs?

NOTE: Experience is calculated in hours worked

I do not have any experience as described above
I have less than 2,000 hours worked
I have a minimum of 2,000 hours worked to a maximum of 2,999 hours worked
I have a minimum of 3,000 hours worked to a maximum of 3,999 hours worked
I have a minimum of 4,000 hours worked to a maximum of 4,999 hours worked
I have a minimum of 5,000 hours worked to a maximum of 5,999 hours worked
I have 6,000 or more hours worked
3a.

Describe your experience as it relates to your answer in Question #3 above.  Please provide the name of the employer(s), dates of employment, and HOURS WORKED (FOR EACH POSITION) where you gained the experience.  If not applicable to you, type N/A in the box below.

NOTE
: To verify your experience planning and implementing recreation programs, you must submit a signed letter from your previous or current employer on official company letterhead with your name, dates of employment, HOURS WORKED, JOB TITLE(S), and DUTIES PERFORMED for EACH POSITION.  If you are unable to upload the verification document(s), you can scan and email the materials to RPD_Recruitment@sfgov.org, with the subject line: 3283 Therapeutic Recreation Verification.

4.

Do you possess current Therapeutic Recreation Certification from the National Council for Therapeutic Recreation (NCTRC) OR the California Board of Recreation and Park (Recreation Therapist) Certification (CBRPC)?

If you answer "Yes" you must submit verification of your certification.  If you are unable to upload the document, you can scan and email the materials to RPD_Recruitment@sfgov.org, with the subject line: 3283 Therapeutic Recreation Verification. 

Yes No
4a.

If you answered "No" to Question #4 above, are you eligible to take the National Council for Therapeutic Recreation Certification (NCTRC) OR the California Board of Recreation and Park (Recreation Therapist) Certification (CBRPC) exam?

If you answer "Yes" you must submit verification from the respective agency indicating that you are eligible to take the exam.  If you are unable to upload the document, you can scan and email the materials to RPD_Recruitment@sfgov.org, with the subject line: 3283 Therapeutic Recreation Verification. 

Yes
No
I already possess NCTRC or CBRPC (Recreation Therapist) Certification
4b.

If you answered "No" to Question #4a above, are you in the process of applying to take the National Council for Therapeutic Recreation Certification (NCTRC) OR the California Board of Recreation and Park (Recreation Therapist) Certification (CBRPC) exam?

Yes
No
I already possess NCTRC or CBRPC (Recreation Therapist) Certification
4c.

If you answered "Yes" to Question #4b above, please indicate in the box below when you are going to take the exam if deemed eligible by the testing agency.  If not applicable to you, type N/A in the box below.

5.

I have submitted verification (proof) of qualifying education and/or experience at the time of filing my application.  (Your documentation should be uploaded with your application.  If you are unable to upload the documents, you can scan and email the materials to RPD_Recruitment@sfgov.org, with the subject line: 3283 Therapeutic Recreation Verification.)

Yes No

 

Supplemental Questionnaire Evaluation

The purpose of this portion of the Supplemental Questionnaire is to determine your skill and experience as they relate to the knowledge, skills, and abilities linked to the duties of this position.  The information will be assessed and scored by an expert review panel to determine your rank on the eligible list, and may be made available to department personnel and management staff to assist in their hiring decisions.  The information you provide on this questionnaire should be consistent with the application and is subject to verification. 

INSTRUCTIONS:  Please follow these instructions when answering the questions below.

- Provide all information requested even if it may appear redundant.  DO NOT write "See application or "See resume" as a response.  Your application or additional attached documents (e.g. resumes, cover letter, letters of reference/recommendation, etc.) will NOT be considered during the scoring process.

- Supply the name of a person who can verify the information you provided about your specific experiences.  This should be a supervisor or program director/coordinator who has personal knowledge that you performed the specific activities.  You may use the same person, if appropriate.

- Please be thorough but concise.

- All relevant experience, education and/or training must be included in the spaces provided in order to be reviewed in the rating process.  Panel members involved in the rating process will not have access to your application and resume, so it is important that your answers are comprehensive. 


1.

Describe your experience planning recreation programs for people with disabilities.  In your response please indicate:

- Description(s) of the recreation program(s) including your specific role in the planning of the program.
- Description of the factors you considered in order to ensure that the programs were creative, stimulating and appropriate for the intended participants.
- Description of the goals and desired outcomes of the program.
- Description of the program participants and how you assessed them prior to the program.
- Description of the tools you used to measure or evaluate the outcome of the program.

2.

Describe your experience using various computer programs and database systems (e.g., online database system) in order to perform recreation program administration and registration functions.  In your response please indicate:

- Description(s) of the programs/databases you have used.
- How frequently you used the programs/databases.
- The specific tasks which you completed using the programs/databases.

3.

Describe your experience supervising and evaluating recreation program staff.  In your response please indicate:

- The number of staff you have supervised and their job titles.
- The methods you have utilized to evaluate staff.
- Description of the steps you took to communicate the findings of your evaluations to your staff members.

4.

Describe your experience providing training and mentoring to recreation program staff.  In your response please indicate:

- The training techniques you have utilized.
- The purposes of your training.
- The steps you took to ensure the trainees were successful after training.

 

CERTIFICATION: I hereby certify that I am the author of this application and that all information is true and based on my background, skills and experiences. I understand that any false, incomplete or incorrect statement may result in my disqualification or dismissal from employment with the City and County of San Francisco. I understand and agree that any information provided is subject to verification.