Official SealDepartment of Human Resources


#PBT-1814-097638
Supplemental Questionnaire

Last Name
First Name

 

Part A:  Minimum Qualifications Supplemental Questionnaire

All applicants are required to complete the Supplemental Questionnaire as part of the online application process. The purpose of the Supplemental Questionnaire is to determine whether applicants possess the minimum qualifications and the knowledge, skills and abilities in job-related areas that have been identified as critical for satisfactory performance in this position. The information provided should be consistent with the information on your application and is subject to verification.

 


1.

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

High School Diploma/G.E.D.
Attended some college and possess 1-14 semester units/ 1-21 quarter units of coursework from an accredited college, university, or business school.
Attended some college and possess 15-29 semester units/ 22-44 quarter units of coursework from an accredited college, university, or business school.
Attended some college and possess 30-59 semester units/ 45-89 quarter units of coursework from an accredited college, university, or business school.
Attended some college and possess 60-89 semester units/ 90-134 quarter units of coursework from an accredited college, university, or business school.
Attended some college and possess 90+ semester units/ 135+ quarter units of coursework from an accredited college, university, or business school.
Completion of a Baccalaureate Degree from an accredited college, university, or business school.
Completion of a Master's Degree from an accredited college, university, or business school.
Completion of a Ph. D from an accredited college, university, or business school.
None of the above
2.

How much experience do you have in the administration of employee retirement and/or pension benefits programs?

I have none of this experience.
Less than one year (less than 2000 hours).
At least one year (minimum 2000 hours) but less than two years (4000 hours).
At least two years (minimum 4000 hours) but less than three years (6000 hours).
At least three years (minimum 6000 hours) but less than four years (8000 hours).
At least four years (minimum 8000 hours) but less than five years (10000 hours).
At least five years (minimum 10000 hours) but less than six years (12000).
At least six years (minimum of 12000 hours) but less than seven years (14000 hours).
At least seven years (minimum of 14000 hours) but less than eight years (16000 hours).
At least eight years (minimum of 16000 hours) or more.
3.

How much experience do you have performing senior level work in the administration of employee pension and death benefits programs which require application and/or knowledge of federal/state/City laws and associated terminologies?

I have none of this experience.
Less than one year (less than 2000 hours).
At least one year (minimum 2000 hours) but less than two years (4000 hours).
At least two years (minimum 4000 hours) or more.
 

Certification:

I hereby certify that I am the author of this questionnaire and that all information is true and is based on my education, training, skills, and experience. I understand that any false or incorrect statement may result in my disqualification from the 1814 Benefits Supervisor exam and/or dismissal from employment with the City and County of San Francisco. I also understand and agree that any information provided is subject to verification.