2473 Diagnostic Medical Sonographer II (CBT-2473-904072)
MINIMUM QUALIFICATIONS SUPPLEMENTAL QUESTIONNAIRE
PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY AS THEY CONTAIN IMPORTANT INFORMATION:
The purpose of this Minimum Qualification Supplemental Questionnaire (MQSQ) is to understand your training and experience as they relate to the minimum qualifications for the recruitment, as stated on the announcement. This Minimum Qualifications Supplemental Questionnaire (MQSQ) must be completed and submitted online with the application at the time of filing. Responses to items on the MQSQ must be supported by the information provided on the application in order to receive appropriate credit. Please be sure to include all relevant education and experience in the work history and education sections of the application. The information and responses selected must be consistent with the information on your application and is subject to verification.
NOTE: Falsifying one's education, training, or work experience or attempted deception on the application or SQ may result in disqualification for this future job opportunities with the City and County of San Francisco.
1.
Do you possess a valid certification and registration with the American Registry of Diagnostic Medical Sonographers (ARDMS) in at least one specialty used at the San Francisco Department of Public Health (SFDPH)?
As a reminder, all certifications/licenses must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the certifications/license you are about to describe in the "Professional Licenses, Certifications or Registrations" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update the appropriate section before submitting your application.
Yes
No
I understand that I must provide a copy of my certifications demonstrating that I possess the above stated certifications, if requested.
2.
If you possess a valid certification and registration with the ARDMS, please select the certification(s) that you possess in the advanced modalities listed below. If you do not possess certifications in the advanced modalities listed below, please mark "I do not currently possess certification in any of the above listed advanced modalities." (Please check all that apply.):
As a reminder, all certifications/licenses must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the certifications/license you are about to describe in the "Professional Licenses, Certifications or Registrations" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update the appropriate section before submitting your application.
Abdomen (AB) certificate issued by the ARDMS.
Breast (BR) certificate issued by the ARDMS.
Fetal Echocardiography (FE) certificate issued by the ARDMS.
Obstetrics & Gynecology (OB/GYN) certificate issued by the ARDMS.
Pediatric Sonography (PS) certificate issued by the ARDMS.
Vascular Technology (VT) certificate issued by the ARDMS.
Musculoskeletal Sonographer (MSKS) certificate issued by the ARDMS.
I do not currently possess certification in any of the above listed advanced modalities.
I understand that I must provide a copy of my certifications demonstrating that I possess the above stated certifications, if requested.
3.
Do you possess a valid certificate in Nuchal Translucency Ultrasound?
As a reminder, all certifications/licenses must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the certifications/license you are about to describe in the "Professional Licenses, Certifications or Registrations" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update the appropriate section before submitting your application.
Yes
No
I understand that I must provide a copy of my certifications demonstrating that I possess the above stated certifications, if requested.
4A.
Do you possess another certificate used at the San Francisco Department of Public Health not listed above?
As a reminder, all certifications/licenses must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the certifications/license you are about to describe in the "Professional Licenses, Certifications or Registrations" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update the appropriate section before submitting your application.
Yes
No
I understand that I must provide a copy of my certifications demonstrating that I possess the above stated certifications, if requested.
4B.
If you answered "Yes" to question 4A, please list the certificate used at the San Francisco Department of Public Health and list the certificate's issuing agency (i.e. Vascular Sonography certificate issued by the American Registry of Radiologic Technologists-ARRT). If you answered "No" to question 4A, please write "N/A".
5.
Do you possess a valid Cardiopulmonary Resuscitation (CPR) certificate issued by the American Heart Association?
As a reminder, all certifications/licenses must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the certifications/license you are about to describe in the "Professional Licenses, Certifications or Registrations" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update the appropriate section before submitting your application.
Yes
No
I understand that I must provide a copy of my certifications demonstrating that I possess the above stated certifications, if requested.
6.
How many years of verifiable work experience do you possess working as a Diagnostic Medical Sonographer? One year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40 hour work week).
As a reminder, all experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the experience you are about to describe in the "Experience" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update the appropriate section before submitting your application.
No experience, or less than less than 1 year (<1,999 hours) of verifiable experience.
At least 1 year but less than 2 years (2,000 to 3,999 hours) of verifiable experience.
At least 2 years but less than 3 years (4,000 to 5,999 hours) of verifiable experience.
At least 3 years but less than 4 years (6,000 to 7,999 hours) of verifiable experience.
4 or more years (8,000+ hours) of verifiable experience.
I understand that I must provide a copy of my certifications demonstrating that I possess the above stated certifications, if requested.
CERTIFICATION: I hereby certify that I am the author of this application and that all information is true and is based on my background, skills and experiences. I understand that I must provide verification documentation of the qualifying training and experience that I indicated above. I understand that any false or incorrect statement may result in my disqualification or dismissal from employment with the City and County of San Francisco. I understand and agree that any information provided is subject to verification.
Department of Human Resources