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 desirable qualifications for the 2565 Acupuncturist position. This information should be consistent with your application (i.e. must be included in the Education and Training and Employment Record sections) and is subject to verification.
1a
I have an acupuncturist license issued by the California Acupuncture Board.
Yes
No
1b
Please tell us what year you obtained your California State acupuncturist license.
2
This position has a Special Condition where Cantonese is a requirement of the job.
I have the ability to communicate in Cantonese and understand that I must pass a bilingual proficiency test to be considered for thisl position.
Yes
No
3a
How many years of experience do you have as an acupuncturist, here in the United States or abroad?
Less than one year
12 months to 24 months
25 months to 36 months
37 months to 48 months
49 months to 60 months
More than 6 years
3b
Please provide the name(s) of the institution/company and address(es) where you gained this experience.
4
This position has a primary treatment focus on MENTAL HEALTH.
Please indicate the average number of cases you have treated related to Mental Health (e.g. depression, anxiety, bipolar disease, psychosis or paranoia or other similar conditions) in the last 12 months (from September 2018 forward)?
None in the last year
1 to 9 cases in the last year
10 - 19 cases in the last year
20 - 29 cases in the last year
30 - 39 cases in the last year
More than 40 cases in the last year
CERTIFICATION: By checking this box, I hereby certify that I am the author of the information supplied in this supplemental questionnaire. I understand that any false or incorrect statements may result in my disqualification or dismissal from employment with the San Francisco Department of Public Health and City and County of San Francisco. I also understand and agree that the information provided is subject to verification.
Department of Human Resources