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#PBT-8602-083307
Supplemental Questionnaire

Last Name
First Name

 

PBT-8602-089970
8602 Emergency Services Coordinator II
Supplemental Questionnaire

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY.

This Supplemental Questionnaire must be completed and submitted online with the application at the time of filing. Responses cannot be changed or edited after submission. Failure to provide complete responses to this Supplemental Questionnaire may result in the rejection of your application.

The purpose of this Supplemental Questionnaire is to obtain specific information regarding your education and experience in relation to the position for which you are applying. Of interest are the knowledge, skills, and abilities you have acquired which relate to activities that have been identified as essential in the performance of the job. The Supplemental Questionnaire will be used as a tool to screen applications for minimum qualification requirements. It is therefore recommended that you read each question thoroughly and provide detailed responses.

Please note: All experience and education referenced in this questionnaire must also appear in the work history and/or education sections of your application. The information provided must be consistent with the information on your application and is subject to verification. A resume will not substitute for a completed application. If you write "see resume" on the application or on the below questionnaire, your application may be rejected.


1.

The minimum qualifications for this classification require:

1a. Possession of a baccalaureate degree from an accredited college or university AND two (2) years of experience in emergency/disaster planning and management or a closely related field; OR

1b. Possession of a baccalaureate degree from an accredited college or university in Business, Public Administration, Emergency Management or a closely related field AND one (1) year of experience in emergency/disaster planning and management or a closely related field; OR

1c. Possession of a master’s degree from an accredited college or university in Business, Public Administration, Emergency Management or a closely related field; AND

2. Completion of United States Department of Homeland Security, FEMA, Emergency Management Institute Courses: IS 100.b or ICS 100, IS 200.b or ICS 200, and IS 700/800; AND

3. A valid California driver’s license.

Substitution:
Additional experience in emergency/disaster planning and management, as described above, may substitute for the required degree on a year-for-year basis. Thirty (30) semester units or forty-five (45) quarter units equal one (1) year.

Do you meet the minimum qualifications for this classification?

Yes No
2.

Based on your education, please indicate the selection that best matches your HIGHEST educational attainment. (DO NOT COUNT UNITS THAT ARE IN PROGRESS.)

*Please read each option carefully before selecting a response.

High school diploma / G.E.D.
I attended some college and completed 1-29 semester/1-44 quarter units from an accredited college or university.
I attended some college and completed 30-59 semester/45-89 quarter units from an accredited college or university.
I attended some college and completed 60-89 semester/90-134 quarter units from an accredited college or university.
I have completed 90 or more semester units/135 or more quarter units from an accredited college or university.
I possess a baccalaureate degree from an accredited college or university.
I possess a baccalaureate degree from an accredited college or university in Business, Public Administration, Emergency Management, or a closely related field.
I possess a graduate degree (Master's degree or higher) from an accredited college or university.
I possess a graduate degree (Master's degree or higher) from an accredited college or university in Business, Public Administration, Emergency Management, or a closely related field.
None of the above
2a.

In the text box below, please provide the following: name of the institution where you gained the education indicated in Question #2 above, number of years attended, and degree(s) pursued or completed. If you did not indicate any college education above, please type “N/A” in the box below.

3.

How much experience do you have working in emergency/disaster planning and management or a closely related field?

I do not have any of the experience as described above.
I have some experience, but less than 1 year.
I have 1 year to 1 year 11 months of experience.
I have 2 years to 2 years 11 months of experience.
I have 3 years to 3 years 11 months of experience.
I have 4 years to 4 years 11 months of experience.
I have 5 years to 5 years 11 months of experience.
I have 6 or more years of this experience.
3a.

Please provide the following information for the experience you indicated above.  Note: Information provided must be consistent with the information listed on your application.

  • Name of the organization(s) where the experience was obtained
  • Dates of experience (e.g. MM/YYYY - MM/YYYY)
  • Name and contact information of a supervisor/manager who can verify

If you do not have experience in this area, please type "N/A" in the text box below.

4.

Have you completed the United States Department of Homeland Security, FEMA, Emergency Management Institute Courses: IS 100.b or ICS 100; AND IS 200.b or ICS 200; AND IS 700/800?

Yes No
5.

Do you have a valid California Driver's License?

Yes No
6.

Are you willing to work any shift including nights, weekends, evenings, and/or holidays?

Yes No
 

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.