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#PBT-0932-073197
Supplemental Questionnaire

Last Name
First Name

 

0932 Manager IV, Quality Management Director, Behavioral Health Services (BHS)

The purpose of the Supplemental Questionnaire is to determine whether you meet the Minimum Qualifications for the 0932 Manager IV, Quality Management Director, Behavioral Health Services (BHS) position as well as to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance. Please refer to the examination announcement for a more detailed description of these knowledge, skills, and abilities.

Questions #A-#C will be used to assess possession of the required education and experience.  Questions #1- #3 will be assessed and scored by an expert review panel. Your application or additional attached documents (e.g. resumes, cover letters, letters of reference/recommendation, etc.) will NOT be considered during the scoring process.

The Supplemental Questionnaire will account for 60% of the total weight of your final score. Insufficient or non-responsive answers to the Supplemental Questionnaire may result in ineligibility, disqualification, or lower scores.

It is suggested that you:

  • Allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline
  • Review the questions first, prepare and save your responses in a word processing document, and then paste them into the online Supplemental Questionnaire
  • Limit responses to no more than 500 words per question
  • Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities

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.
A.1

Please select the highest level of education that you have completed.
High School Diploma or equivalent
Associate's Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
None of the above
A.2

Please indicate what degree type you received:
Psychology
Social Work
Program Evaluation
Other type of degree
A.3

If you indicated in A.2 that you have "other degree", please list what is the area of study. If this doesn't apply, type in N/A.
B.1

How many years of professional experience do you have in program performance measurement, quality improvement and risk management?
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 but less than six years of experience
I have six years of experience or more
I do not have any experience
B.2

In accordance with your responses to #B.1 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

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.
C. 1

How much of your experience referenced in B. 1 above included supervising professional staff?
I have less than one (1) year experience
I have at least one (1) year, but less than two (2) years experience
I have at least two (2) years, but less than three (3) years experience
I have three(3) years or more experience
I do not have any experience
C. 2

In accordance with your responses to #C.1 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

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.
1.

Describe your experience managing professional and administrative staff. Detail your experience including evaluating and monitoring work performance, handling disciplinary issues, and delegation of work.
2.

Provide a specific example from your experience researching and evaluating theory and design methodology.  In your response, include:

  • How did you go about research and design?
  • What was your process in evaluation?
  • How  did you utilize data in impact analysis?
  • How did you come up with a recommendation or make a decision?
3.

Provide a specific example of how you have built consensus with different levels of an organization with a new plan/project.  In your response, include:

  • What was the issue needing consensus?
  • How did you go about communicating to build consensus?
  • What roadblocks did you face?
  • How did you overcome the roadblocks?
  • How did you implement the new plan/project?
  • What was the final impact?
 

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.