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#PBT-3210-103777
Supplemental Questionnaire

Last Name
First Name

 

3210 Swimming Instructor/Pool Lifeguard

PBT-3210-103777

Supplemental Questionnaire



 

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.  

Responses to items on the Supplemental Questionnaire must be supported by the information provided on the application in order to receive appropriate credit. Please provide a response to each question below to the best of your ability.  Please provide all information requested even if the information may appear redundant. Do not write, "See application" or “See resume.”  

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. 

It is suggested that you:

  • Allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline.
  • Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities.
  • Make note of any error messages and contact the analyst before the filing deadline, if you experience technical difficulties.

 

INSTRUCTIONS: This Minimum Qualification Supplemental Questionnaire (MQSQ) 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.

 
1.

How much verifiable experience do you have working as a Swimming Instructor?

(NOTE: six (6) months of experience is equivalent to working 1,040 hours)
I do not have any verifiable experience as a swimming instructor.
1 month (minimum) to 5 months (maximum) of verifiable experience as a swimming instructor.
6 months (minimum) to 11 months (maximum) of verifiable experience as a swimming instructor.
12 months (minimum) to 17 months (maximum) of verifiable experience as a swimming instructor.
18 months (minimum) to 23 months (maximum) of verifiable experience as a swimming instructor.
24 months (minimum) to 29 months (maximum) of verifiable experience as a swimming instructor.
30 months (minimum) to 35 months (maximum) of verifiable experience as a swimming instructor.
36 or more months of verifiable experience as a swimming instructor.
2.

How much verifiable experience do you have working as a Lifeguard?

(NOTE: six (6) months of experience is equivalent to working 1,040 hours)
I do not have any verifiable experience as a lifeguard.
1 month (minimum) to 5 months (maximum) of verifiable experience as a lifeguard.
6 months (minimum) to 11 months (maximum) of verifiable experience as a lifeguard.
12 months (minimum) to 17 months (maximum) of verifiable experience as a lifeguard.
18 months (minimum) to 23 months (maximum) of verifiable experience as a lifeguard.
24 months (minimum) to 29 months (maximum) of verifiable experience as a lifeguard.
30 months (minimum) to 35 months (maximum) of verifiable experience as a lifeguard.
36 or more months of verifiable experience as a lifeguard.
3.

Do you possess a Lifeguard Training Certification issued by the American Red Cross or an equivalent certified issuing agency?
Yes No
4.

Do you possess a Water Safety Instruction Certification issued by the American Red Cross or an equivalent certified issuing agency?
Yes No
5.

Do you possess a CPR for the Professional Rescuer (CPRFPR) Certification issued by the American Red Cross or an equivalent certified issuing agency?
Yes No
6.

Possession of a First Aid for Public Safety Personnel Certification in accordance with Title 22 requirements is required within six (6) months of appointment. 

Do you currently possess a First Aid for Public Safety Personnel Certification in accordance with Title 22 requirements?
Yes No
7.

Possession of an Oxygen Administration for the Professional Rescuer Certification issued by the American Red Cross or equivalent certified issuing agency is required within six (6) months of appointment. 

Do you currently possess an Oxygen Administration for the Professional Rescuer Certification issued by the American Red Cross or equivalent certified issuing agency?
Yes No
8.

This recruitment requires submission of verification (proof) of qualifying certifications at time of filing application.

Will you submit verification of qualifying certifications prior to the filing deadline? 

[Verification of qualifying certifications must be uploaded (.pdf) with your application.  If you are unable to upload the documents, you can scan and email the materials to Stacy.Chung@sfgov.org, with the subject line: 3210 Verification.]
Yes No
 

CERTIFICATION: I hereby certify that I am the author of this application and that all information is true and based on my background, skills and experiences.  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.  I understand and agree that any information provided is subject to verification.