The purpose of this Supplemental Questionnaire is to determine if you meet the Minimum Qualifications of a 1429 Nurses Staffing Assistant.
Responses to supplemental questionnaire items must be supported by the information provided in the body of your application (i.e. education and training/employment record section) in order to receive appropriate credit, and are subject to verification. Verification of experience may be collected at any time during or after the selection process.
Resumes are NOT used or reviewed to determine whether you meet the minimum qualifications. A resume should NOT be submitted to substitute for a completed application. If you write “See Resume” on the application or on the Supplemental Questionnaire, your application may be rejected. Verification of education and/or experience may be collected at any time.
If you experience technical difficulties, make note of any error messages and contact the Analyst.
INSTRUCTIONS: Please answer all applicable questions by choosing the best response that matches your experience and/or by providing the information requested.
1A.
How much verifiable full-time equivalent work experience do you have performing highly responsible and diversified clerical work that includes resolving difficult operational and procedural problems, and researching, compiling and organizing data? (Full-time experience is equivalent to 40 hours per week.)
No Experience
Some, but less than 12 Months
12 to 23 Months
24 to 35 Months
36 to 47 Months
48 to 59 Months
60 or more Months
1B.
Please provide the name of the employer(s) and the dates of employment (e.g. MM/YYYY – MM/YYYY) where you obtained your verifiable experience as indicated in question 1A.
In addition, please list the name of (a) supervisor(s) or manager(s) who can verify the information provided as well as his or her contact information. If you selected that you do not have experience, please type N/A.
Do not type “See Resume.”
1C.
Referring to your answers in questions 1A. and 1B., please provide a detailed description of your verifiable work experience as indicated in questions 1A. and 1B.
In your answer, include details about your specific role, your primary duties, and your responsibilities for all positions where you gained your experience. If you do not have experience, please type N/A.
Do not type “See Resume.”
CERTIFICATION: I certify that I am the author of this form and that all the information presented is true and based upon my experience. I understand that prior to an appointment I may be required to provide written verification of any of the information provided above and that I may be required by the hiring department to participate in performance test(s) during the probationary period. I further understand that any false, incomplete, or incorrect statement may result in disqualification, dismissal, or termination of employment with the City and County of San Francisco.
Department of Human Resources