Chinatown/North Beach Behavioral Health Clinic Director (PBT-0923-077316)
The purpose of the Supplemental Questionnaire is to assist with determining if you possess the Minimum Qualifications for the 0923 Chinatown/North Beach Behavioral Health Clinic Director.
If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with the information on your employment application and are subject to verification.
1a.
How much professional experience do you have as a Licensed Clinical Social Worker, Licensed Marriage and Family Therapist, or Licensed Psychologist providing behavioral health services to children and adults?
I have less than one (1) year of experience
I have at least one (1) year, but less than two (2) years of experience
I have at least two (2) years, but less than three (3) years of experience
I have at least three (3) years, but less than four (4) years of experience
I have at least four (4) years, but less than five(5) years of experience
I have five (5) years of experience or more
I do not have any experience
1b.
Additionally, 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 do not have experience in these areas, please type N/A.
2a.
In regards to the experience you listed in Q1, how many years do you have supervising the following: Licensed Clinical Social Workers, Licensed Marriage and Family Therapist, or Licensed Psychologist employees?
I have less than one (1) year of experience
I have at least one (1) year, but less than two (2) years of experience
I have at least two (2) years, but less than three (3) years of experience
I have at least three (3) years, but less than four(4) years of experience
I have at least four (4) years, but less than five (5) years of experience
I have five (5) years of experience or more
I do not have any experience
2b.
Additionally, 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 do not have experience in these areas, please type N/A.
3a.
Do you have a valid California license in one of the following disciplines?
Licensed Clinical Social Worker issued by the California Board of Behavioral Sciences
Licensed Marriage and Family Therapist issued by the California Board of Behavioral Sciences
Licensed Psychologist issued by the California Board of Psychology
I do not currently hold any of these licenses
3b.
Please write your license #. If none, type in N/A.
I understand that checking this box will serve as my electronic signature. I certify that I am the author of this questionnaire and all information presented is true and based upon my education, training, skills, and experience. I understand and agree that any information provided is subject to verification. I also understand that any false, incomplete, or incorrect statement may result in disqualification, termination, or dismissal from employment with the City and County of San Francisco.
Department of Human Resources