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#PBT-7220-091502
Supplemental Questionnaire

Last Name
First Name
 

7220 Asphalt Finisher Supervisor I
Minimum Qualifications Supplemental Questionnaire
(PBT-7220-091502)

All applicants are required to complete the Supplemental Questionnaire as part of the online application process. Responses cannot be changed or edited after submission. Insufficient or non-responsive answers to the Supplemental Questionnaire may result in ineligibility, disqualification, or lower scores.

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.

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

INSTRUCTIONS: This Minimum Qualification Supplemental Questionnaire is designed to assess whether the applicant meets the minimum qualifications for the classification. The minimum qualifications have been identified as critical for satisfactory performance in this classification. The information provided must be consistent with the information on your application and is subject to verification. The responses on the Supplemental Questionnaire are mandatory for participation in this recruitment process.

CERTIFICATION: I hereby certify that I am the sole author of this supplemental questionnaire and that all information presented is true and based on my education and experience and is consistent with the information in my employment application. I understand that any false, incomplete or incorrect statement may result in my disqualification or dismissal from employment with the City and County of San Francisco and Public Works. I also understand and agree that any information provided is subject to verification.

Yes No
1.

How much verifiable professional experience do you possess working in street paving and repair work in class 7404 Asphalt Finisher? NOTE: One year is equivalent to working 2000 hours.

I do not have any verifiable experience as described above.
1 month to 11 months of verifiable experience as described above.
1 year to 1 year and 11 months of verifiable experience as described above.
2 years to 2 years and 11 months of verifiable experience as described above.
3 years or more of verifiable experience as described above.
2.

How much verifiable experience do you possess working in roadway base repair, curb and gutter repair, and milling and preparing streets for resurfacing or overlay? NOTE: One year is equivalent to working 2000 hours.

I do not have any verifiable experience as described above.
1 month to 11 months of verifiable experience as described above.
1 year to 1 year and 11 months of verifiable experience as described above.
2 years to 2 years and 11 months of verifiable experience as described above.
3 years or more of verifiable experience as described above.
3.

Indicate the selection that best matches your duties in the verifiable experience on question no.1 or 2 (check all that apply). NOTE: One year is equivalent to working 2000 hours.

Roadway base repair
Curb and gutter repair
Milling and preparing streets for resurfacing
Milling and preparing streets for overlay
Street and paving and repair work in class 7404 Asphalt Finisher
Does not apply
4.

I possess a current valid California driver’s license.

Yes No