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#PBT-2576-103977
Supplemental Questionnaire

Last Name
First Name

 

Supervising Clinical Psychologist

PBT-2576-103977

Minimum Qualifications Supplemental Questionnaire

 

The purpose of the Minimum Qualification Supplemental Questionnaire (MQSQ) is to assess whether the applicant meets the minimum qualifications for the 2576 Supervising Clinical Psychologist position. 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 Minimum Qualifications Supplemental Questionnaire are mandatory for participation in this recruitment process. 

Please be sure to include all relevant education and experience in the work history and education sections of the application. A resume will not substitute for this supplemental questionnaire or for a completed application.


1

Do you possess a valid Psychologist license issued by the California Board of Psychology as defined in Chapter 6.6 of the Business and Professions Code, Psychology Licensing Law, Sections 2900-2903, 2914?

Yes No
2

How much verifiable, professional, full-time experience do you have as a practicing Clinical Psychologist?

As a reminder, all qualifying education must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the education experience you are about to describe in the Education History section of your application, you will not receive credit for this education. If you are copying an old application, please take the time to update your work history section before submitting your application.

I have NONE of this experience
I have 1 month to 11 months of this experience
I have 1 year (2000 hours) to 1 year 11 months of this experience
I have 2 years (4,000 hours) to 2 years 11 months of this experience
I have 3 years (6,000 hours) to 3 years 11 months of this experience
I have 4 years (8,000 hours) to 4 years 11 months of this experience
I have 5 years (10,000 hours) to 5 years 11 months of this experience
I have 6 years (12,000 hours) to 6 years 11 months of this experience
I have 7 years (14,000 hours) to 7 years 11 months of this experience
I have 8 years (16,000 hours) or more of this experience

 

 

Supervising Clinical Psychologist

PBT-2576-103977

Supplemental Questionnaire

 

Instructions:

The purpose of the Supplemental Questionnaire (SQ) is to describe your training and experience as they relate to the knowledge, skills, and abilities (KSA) linked to the essential functions of the 2576 Supervising Clinical Psychologist position.

Your answers will be evaluated and scored. Only the information you provide in your answers to these questions will be evaluated to determine your score in the selection process for this position. No attachments or additional documents such as resumes, cover letters, publications, or employment applications will be considered (i.e. Writing ‘see resume’ OR ‘n/a’ is not a sufficient response for any of the questions below).

This Supplemental Questionnaire will be presented to an expert review panel for an assessment and will be used as part of the examination process to determine candidates’ score and rank on the Score Report. Insufficient or non-responsive answers and/or answers that are plagiarized or have falsified information may result in disqualification from the recruitment process.

The responses that you provide to this supplemental questionnaire should be consistent with the information on your application, and are subject to verification.

 

 


1

Tell us about your most challenging case where you had to use all your assessment knowledge and skills to diagnose a client and create a treatment plan.

In your response, please include:

  • A description of your client
  • A description of your client’s situation
  • An explanation why it was difficult to diagnose your client and why it was difficult to create a treatment plan
  • Who else was involved and in what capacity
  • The outcome
1a

List the employer(s), date(s), and your job title(s)/job class(es) where you gained the experience indicated in the previous question.

2

Tell us about an employee you supervised who was underperforming or otherwise challenging and you had to take disciplinary action.      

In your response, please include:

  • How you determined the employee was underperforming
  • How you approached the employee
  • The factors that influenced your decision-making process
  • Who else was involved and in what capacity
  • Challenges you faced and how you resolved them
  • The final outcome

  

2a

List the employer(s), date(s), and your job title(s)/job class(es) where you gained the experience indicated in the previous question.

3

Describe a time when you had several assessment reports to review with conflicting deadlines to meet and you had to be very strategic in order to meet all deadlines. 

In your response, please include:

  • What your role was in the process
  • The technical tools you used (outlook calendar, excel, tasks planner, excel, etc.)
  • How you delegated task(s) to others and the criteria you considered
  • Challenges you faced and how you resolved them
  • The final outcome
3a

List the employer(s), date(s), and your job title(s)/job class(es) where you gained the experience indicated in the previous question.

 

CERTIFICATION

I certify that I am the author of this supplemental questionnaire and that all the information presented is true and based upon my experience. I understand that prior to an appointment I may be required to provide written verification of any of the information provided above and that I may be required by the hiring department to participate in performance test(s) during the probationary period. I further understand that any false, incomplete, or incorrect statement may result in dismissal or termination of employment with the City and County of San Francisco.