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Supplemental Questionnaire

Last Name
First Name

 

Supplemental Questionnaire

All applicants are required to complete the supplemental questionnaire as part of the online application process. The purpose of the supplemental questionnaire is to determine whether applicants possess the minimum qualifications and desirable qualifications for the position. This information should be consistent with your application (i.e., must be included in the Education and Training and Employment Record sections) and is subject to verification.


1a.

Select the statement that best describes your highest level of education.

No formal college/university education
Currently enrolled in an accredited college or certification program
Associate's Degree
Bachelor's Degree
Master's Degree or higher
1b.

Please indicate the college/university where you obtained or will obtain your degree and the field of study. If you answered "No formal higher education" to the question above, please type “N/A” in the box below.

2.

How many months of verifiable experience do you have in a health or social service setting (including work as a volunteer, intern, or trainee)?

I have less than 3 months of experience
I have 3 or more months of experience
3.

Are you bilingual and biliterate in English and Chinese?

Yes No
 

By checking this box, I certify that my responses indicated above 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.