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#TEX-2450-092160
Supplemental Questionnaire

Last Name
First Name

 

2450 Pharmacist 

TEX-2450-092160

Supplemental Questionnaire

The purpose of this supplemental questionnaire is (1) to determine how you meet the minimum qualifications and (2) to assess the desirable qualifications of the 2450 Pharmacist position.

All information provided here must be consistent with the information listed on your application. All experience and education must be listed in the application in order to be considered. If you do not include the experience and education in the corresponding sections of the application, you will not receive credit for them. If you are copying an old application, please take the time to update all information before submitting your application. 

The information that you provide here does not substitute for the online application. All information provided is subject to verification. 

INSTRUCTIONS: Please answer by choosing the best response that matches your education and experience and/or providing the information requested. 


1.

Do you possess a valid Registered Pharmacist license issued by the California State Board of Pharmacy?

*Please include this information in your application.

Yes No
2.

How much verifiable full-time equivalent experience do you have working as a licensed pharmacist?

*Please include this information in your application.

I do not have any experience as a pharmacist in an inpatient pharmacy within the last 5 years.
I have some, but less than 6 months (equivalent to 1,000 hours) of experience.
I have at least 6 months (1,000 hours), but less the 12 months (2,000 hours).
I have at least 12 months (2,000 hours), but less than 18 months (3,000 hours).
I have 18 or more months (3,000+ hours) of experience.
3.

How much verifiable full-time equivalent experience do you have as a licensed pharmacist in an inpatient pharmacy? 

*Please include this information in your application.

I do not have any experience as a pharmacist in an inpatient pharmacy within the last 5 years.
I have some, but less than 6 months (equivalent to 1,000 hours) of experience.
I have at least 6 months (1,000 hours), but less the 12 months (2,000 hours).
I have at least 12 months (2,000 hours), but less than 18 months (3,000 hours).
I have 18 or more months (3,000+ hours) of experience.
 

CERTIFICATION: By checking this box, I certify that I am the author of this supplemental questionnaire and that all information is true based on my background, skills, and experiences. I understand that any false, incomplete, or incorrect statement, regardless of when it was discovered, may result in my disqualification or dismissal from my employment with the City and County of San Francisco. I understand and agree that any information provided is subject to verification.