The purpose of this Supplemental Questionnaire is to assist with evaluating possession of the required Minimum Qualifications(i.e. required experience and license/registration) for the DPH Children, Youth and Families 2574 Clinical Psychologist 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 NOTtype “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.
1.
Do you have a valid Psychologist license issued by the California Board of Psychology?
Yes
No
2.
How much clinical experience do you have with children?
Six (6) months of full-time experience is equivalent to 1,000 hours.
I have some, but less than six (6) months of this experience
I have at least six (6) months, but less than twelve (12) months of this experience
I have at least twelve (12) months, but less than eighteen (18) months of this experience
I have at least eighteen (18) months, but less than twenty-four (24) months of this experience
I have at least twenty-four (24) months, but less than thirty (30) months of this experience
I have at least thirty (30) months, but less than thirty-six (36) months of this experience
I have thirty-six (36) months of this experience or more
I don't have any of this experience
3.
How much post-graduate level psychological testing and reporting experience do you have?
Six (6) months of full-time experience is equivalent to 1,000 hours.
I have some, but less than six (6) months of this experience
I have at least six (6) months, but less than twelve (12) months of this experience
I have at least twelve (12) months, but less than eighteen (18) months of this experience
I have at least eighteen (18) months, but less than twenty-four (24) months of this experience
I have at least twenty-four (24) months, but less than thirty (30) months of this experience
I have at least thirty (30) months, but less than thirty-six (36) months of this experience
I have thirty-six (36) months 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.
Department of Human Resources