Official SealDepartment of Human Resources


#TEX-3286-103938
Supplemental Questionnaire

Last Name
First Name

 

TEX-3286-103938
3286 Recreation Coordinator
Supplemental Questionnaire

The purpose of this Supplemental Questionnaire is to determine whether applicants possess the minimum qualifications that have been identified as critical for satisfactory performance in this position AND determine whether applicants have the knowledge, skills and abilities in job-related areas for this position. The information provided should be consistent with the information on your application and is subject to verification.  Failure to do so may result in rejection of application.

 


1

Based on your education, indicate the selection that best matches your highest educational attainment:

High School Diploma / G.E.D.
Attended college and possess 1-29 semester / 1-44 quarter units from an accredited college or university
Attended college and possess 30-59 semester / 45-89 quarter units from an accredited college or university
Attended college and possess 60-89 semester / 90-134 quarter units from an accredited college or university
Attended college and possess 90+ semester / 135+ quarter units from an accredited college or university
Completion of an Associate's Degree from an accredited college or university
Completion of a Baccalaureate Degree from an accredited college or university
Completion of a Master's Degree from an accredited college or university
I possess none of the above
2

Do you possess a Baccalaureate Degree from an accredited college or university with major coursework in Recreation, Recreation Administration, Business Management, Physical Education/Kinesiology, Performing Arts, or Visual Arts?

Yes No
3

Please provide the name of the college or university where your degree was earned, the major course of study and dates you attended.  If not applicable to you, indicate N/A in the text area below.

4

Please select the statement that best describes your experience leading recreational activities, performing recreational support services, and/or facility monitoring (experience as a security guard is not qualifying as facility monitoring).

NOTE: Experience is calculated in hours worked

I have less than 2,000 hours worked
I have a minimum of 2,000 hours worked to a maximum of 3,999 hours worked
I have a minimum of 4,000 hours worked to a maximum of 5,999 hours worked
I have a minimum of 6,000 hours worked to a maximum of 7,999 hours worked
I have a minimum of 8,000 hours worked to a maximum of 9,999 hours worked
I have a minimum of 10,000 hours worked to a maximum of 11,999 hours worked
I have 12,000 or more hours worked
5

Please describe your experience as it relates to your answer in Question #4.  In your response, provide the name of the employer(s), dates of employment, and hours worked per week (FOR EACH POSITION).  If not applicable to you, indicate N/A in the text area below.

6

I possess a CA driver's license and upon hire will provide my driver's license which will be enrolled in the department's DMV Pull Program.

Yes No
7

All Recreation Coordinators must participate in the camp talent show for guests. Please describe how you envision yourself playing a role in the staff talent show. If you don't know how you would participate, please write "N/A".

8

All Camp Mather staff must wear a department-issued uniform while on duty. Please indicate your t-shirt and uniform size in the box below.

 

9

Please indicate a contact whom we can reach in case of an emergency.  Please provide the person's name, relation, email, and phone number (cell and home).

10

The following positions are available: Camp Office Manager and Camp Program Manager.  In the text box below, please indicate, in rank order, the position(s) you are interested in working for.  We will take the information into consideration when making the final hiring selections/assignments but there is no guarantee of placement.

 

By completing this form, I certify that my responses are true and complete to the best of my knowledge.  I understand and agree that any information provided is subject to verification.  I also understand that falsification of this record may result in my disqualification or dismissal from employment with the City and County of San Francisco.