Official SealDepartment of Human Resources


#TEX-7432-104057
Supplemental Questionnaire

Last Name
First Name
 

SUPPLEMENTAL QUESTIONNAIRE

The purpose of this Supplemental Questionnaire is to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance in this position. All relevant experience, education and/or training must be on the supplemental questionnaire in order to be reviewed.  This information should be consistent with the information on your application (employment record, resume) and is subject to verification. The hiring department may review this information as part of their selection process.

Please be thorough and concise.  All of your information MUST be supplied in the spaces provided. Attachments or additional documents such as resumes, cover letters, or application will NOT be considered. (i.e. Writing “see resume/website/application” or “N/A” is not sufficient response.)

CERTIFICATION:  I hereby certify that I am the author of this supplemental questionnaire and that all information presented is true and based on my education and experience and is consistent with the information in my employment application. 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 also understand and agree that any information provided is subject to verification.

Yes No
 

What is your HIGHEST LEVEL of educational attainment?

I possess a High School Diploma, or G.E.D.
I possess an Associate degree from an accredited college or university
I possess a Baccalaureate degree or higher (Bachelor, Master, etc.) from an accredited college or university
None of the Above
 

How much experience do you have in general electrical and mechanical work experience in maintenance/construction? [NOTE: 2000 hours equals one year of work experience.]

I have some experience, but less than 1 year in general electrical and mechanical work experience in maintenance/construction.
I have 1 year to 1 year 11 months in general electrical and mechanical work experience in maintenance/construction.
I have 2 year to 2 year 11 months in general electrical and mechanical work experience in maintenance/construction.
I have 3 year or more in general electrical and mechanical work experience in maintenance/construction.
I do not possess this experience
 

Do you possess a valid driver license?

I possess a valid California Driver License
I possess a valid Driver License issued outside of State of California
I do NOT possess a valid Driver License