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#CBT-7364-M00180
Supplemental Questionnaire

Last Name
First Name

 

The answers provided should be consistent with the information in your general application and is subject to verification.

INSTRUCTIONS: Answer the questions below by checking the response that best applies to you.


1

How much full-time verifiable experience in the operation and maintenance of general mechanical and electrical equipment related to power generation or distribution (hydro, fuel or static included) do you have? (2000 hrs = 1 year)

none or less than 1 year
1 year to 1 year 11 months
2 years to 2 years 11 months
3 years or more
2a

Do you possess a valid Class C driver license?

Yes No
2b

If you answered Yes to Question 2a, What is the expiration date of your driver license?

Your driver license expiration date must be correctly listed on the driver license section of your application.

3a

In accordance with the Department of Transportation (DOT) Rule 49 CFR Part 40 section 40.25 (j), an employer must ask the applicant(s) applying for safety-sensitive transportation work the following question:

Have you tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer that you applied for work, but did not obtain safety-sensitive transportation work covered by a DOT agency’s drug and alcohol testing rules during the past two years? Please mark the appropriate box below.

Yes No
3b

If your response is “Yes”, please provide detailed explanation in the space below:

 

I understand applicants may be required to submit verification of qualifying experience, training, and driver license at any point in the application, examination and/or departmental selection process. Applicants unable to provide verification when requested will be removed from the recruitment process.

Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

 

I confirm that I am applying for the Class 7364 Power House Operator (CBT-7364-M00180) position.

 

I have read and understood the Class 7364 Power House Operator (CBT-7364-M00180) job announcement.

 

By checking this box I am confirming that my application and any attachments that I will include with it will be complete and accurate and include details on all experience, education, training and other information that qualifies me for this recruitment, and that any new information that I supply in any of the above areas at a later time may not be used for scoring or considered to determine whether I meet the minimum qualifications.

 

I understand that checking this box will serve as my electronic signature. I hereby certify that I am the sole author of this supplemental application and that all the information is true, based on my background and experience, and is consistent with the information on my employment application. I understand that any false or incorrect statements may result in my disqualification or dismissal from employment with the San Francisco Municipal Transportation Agency and the City and County of San Francisco. I also understand and agree that the information provided is subject to verification.