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#TEX-7362-105340
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
1.

Select the statement that best matches the number of years of journey level electronics technician experience, which must have included the installation, repair, and maintenance of a broad range of electronic communications systems and equipment. (Note: 1 year =  2000 work hours)

I possess 1 year - 1 year 11 months of experience as described above
I possess 2 year - 2 year 11 months of experience as described above
I possess 3 year - 3 year 11 months of experience as described above
I possess 4 year - 4 year 11 months of experience as described above
I possess 5 year or more of experience as described above
I possess less than 1 year of experience as described above
I do not possess the experience as described above
2.

Please indicate the license(s) that you have. (Check all that apply)

Federal Communications Commission General-Class Radio-Telephone Operator
APCO Certificate of Competency (Associated Public Safety Communications Officers)
NABER Certificate (National Association of Business and Educational Radio)
None
3.

How many college credits/units in electronic communications technology have you completed?  (Do not count units/credits that are in progress)

I have completed some college-level coursework in electronic communications technology, but not more than 1 - 9 semester units / 1 -14 quarter units
I have completed between 10 - 29 semester units / 15 - 44 quarter units of college coursework in electronic communications technology
I have completed at least 30 semester units / 45 quarter units of college coursework in electronic communications technology
I possess an Associate degree or higher (Bachelor, Master, etc.) in electronic communications technology
I have not completed any college level coursework in electronic communications technology
I have completed 1200 hours of professional certificated technical training in that field
4.

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