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#PBT-7254-064497
Supplemental Questionnaire

Last Name
First Name

 

SUPPLEMENTAL APPLICATION
(Recruitment #PBT-7254-064497)

INSTRUCTIONS: This supplemental questionnaire will be used to assess possession of the minimum qualifications as well as experience in job-related areas for the 7254 Automotive Machinist Supervisor I position for which you are applying. Supporting documentation (such as licenses, letters, resumes, etc.) will not substitute for this supplemental application. This supplemental application MUST be submitted with the official application along with all documentation verifying your qualifications at the time of filing. 

Please ensure that the information on this supplemental application and any documentation provided is consistent with the license, education, training, certification and employment record sections of your application. Inconsistent or incomplete information may result in rejection of the application.


1

I possess a High School diploma, GED or equivalent.

Yes No
2

I have completed a four (4)-year apprenticeship training program as an automotive machinist or heavy-duty mechanic.

Yes No
3

In the box below, provide the name and location of the institution or authorized organization where you completed the apprenticeship indicated in question #2 above. If this question does not apply to you, please write “N/A”.

4

I possess the following journey-level experience in which the major duties were disassembling, repairing, overhauling and installing mechanical, electrical and hydraulic assemblies in heavy duty and off-road vehicles and power-driven equipment:

0 years to 11 months
1 years to 1 years 11 months
2 years to 2 years 11 months
3 years to 3 years 11 months
4 years to 4 years 11 months
5 years to 5 years 11 months
6 years to 6 years 11 months
7 years to 7 years 11 months
8 years or more
5

My experience as described in question #4 above, included the following supervisory experience:

0 years to 1 years
1 years to 1 years 11 months
2 years or more
6

List the following for each qualifying experience described in questions # 4 to 5 above:

  • Your job title(s)
  • Name(s) of employer/company/organization
  • Dates of employment
  • Your supervisor or representative who can verify the experience(s) above
  • Their working title, email and phone number

If you have indicated that you do not possess experience in these areas enter "N/A".

7

I possess a valid Class A (or I) driver license with Medical Certificate:

Yes No
 

By checking this box, I hereby certify that I am the author of this questionnaire and that all information is true and correct based on my background and experience. I understand that any false or incorrect statement may result in my disqualification from this exam and/or dismissal from employment with the City and County of San Francisco. I also understand and agree to provide verification. As per the announcement, verification is required for this recruitment. Please see the job announcement under "HOW TO APPLY" for more information about verification.