Department of Human Resources

#PBT-0933-100398
Supplemental Questionnaire

Last Name
First Name

0933 MANAGER V (PBT-0933-100398)

DIRECTOR, CHILDREN, YOUTH AND FAMILIES SYSTEM OF CARE

MINIMUM QUALIFICATION SUPPLEMENTAL QUESTIONNAIRE

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

The purpose of this Supplemental Questionnaire is to assist with evaluating possession of the required Minimum Qualifications(i.e. required education, experience, and license) for the 0933 Manager V - Director, Children, Youth and Families System of Care position.

IMPORTANT NOTE: Attaching a resume does not substitute for submitting a completed application. Your application’s Education, Professional Licenses, Certifications, or Registrations, and Employment Record sections should clearly demonstrate how you satisfy this position’s Minimum Qualifications. Do NOT type “see resume” or leave the above-mentioned application sections blank.

It is suggested that you allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline. If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with and supported by the information on your application (i.e. Education, Professional Licenses, Certifications, or Registrations & Employment Record sections) and are subject to verification at any time.

As a reminder, all qualifying education, licensure, registration, certification, and experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the education, licensure, registration, certification, and experience you are about to describe in the applicable sections of your application, you will not receive credit. If you are copying an old application, please take the time to update applicable sections before submitting your application.

1a.

Please select the highest level of education that you have completed.

DO NOT INCLUDE UNITS THAT ARE IN PROGRESS.

High School Diploma or equivalent

Associate's degree

Bachelor's degree

Master's degree

Doctoral degree

None of the above

1b.

If you earned a Master's degree (or higher) from an accredited college or university, what was/were your major(s)? Select all that apply.

Public Health

Health Administration

Business Administration

Social Work

Medicine

Nursing

Psychology

Other, closely related field

None of the above

2.

Please identify the valid California license that you possess:

I have a valid license in one of the required areas, but it is not issued by the State of California

Licensed Clinical Social Worker issued by the California Board of Behavioral Sciences

Licensed Marriage and Family Therapist issued by the California Board of Behavioral Sciences

Licensed Professional Clinical Counselor issued by the California Board of Behavioral Sciences

Psychologist license issued by the California Board of Psychology

Registered Nurse license issued by the California Board of Registered Nursing

Doctor of Medicine license issued by the Medical Board of California

Doctor of Osteopathy license issued by the Osteopathic Medical Board of California

None of the above

3.

How much full-time professional experience do you have in behavioral health services for children, youth, and families?

One (1) year of full-time experience is equivalent to 2,000 hours.

I have some, but less than one (1) year of this experience

I have at least one (1) year, but less than two (2) years of this experience

I have at least two (2) years, but less than three (3) years of this experience

I have at least three (3) years, but less than four (4) years of this experience

I have at least four (4) years, but less than five (5) years of this experience

I have at least five (5) years, but less than six (6) years of this experience

I have at least six (6) years, but less than seven (7) years of this experience

I have seven (7) years of this experience or more

I don't have any of this experience

4.

Considering your response to #3 above, how much of your full-time professional experience in behavioral health services for children, youth, and families included supervising professional employees?

One (1) year of full-time experience is equivalent to 2,000 hours.

I have some, but less than one (1) year of this experience

I have at least one (1) year, but less than two (2) years of this experience

I have at least two (2) years, but less than three (3) years of this experience

I have at least three (3) years, but less than four (4) years of this experience

I have at least four (4) years, but less than five (5) years of this experience

I have at least five (5) years, but less than six (6) years of this experience

I have at least six (6) years, but less than seven (7) years of this experience

I have seven (7) years of this experience or more

I don't have any of this experience

CERTIFICATION: 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.