2585 Health Worker 1 The purpose of this Supplemental Questionnaire is to obtain specific information regarding your education, experience, and/or training. Responses to items on the Supplemental Questionnaire must be supported by the information provided on the application and is subject to verification.
Please be sure to include all relevant education and experience in the work history and education sections of the application. It is essential that you provide complete information in identifying your education, experience, and training. A resume will not substitute for a completed application. If you write "see resume" on the application or on the below questionnaire, your application may be rejected.
NOTE: Falsifying one''s education, training, or work experience or attempted deception on the application or Supplemental Questionnaire may result in disqualification for this and future job opportunities with the City and County of San Francisco.
1.
How much verifiable experience do you have performing a combination of at least two (2) of the following duties? (Note: 6 months of experience is equal to 1,000 hours)
Serving as a liaison between targeted communities and health care agencies;
providing culturally appropriate health education/information and outreach to targeted populations;
providing referral and follow up services or otherwise coordinating care;
providing informal counseling, social support and advocacy to targeted populations;
escorting and transporting clients;
providing courier /dispatcher functions;
performing pre-clinical examinations of vital statistics, such as measuring a patient’s weight, height, temperature and blood pressure.
As a reminder, all qualifying experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the work experience you are about to describe in the "Work History" section of your application, you will not receive credit for this experience. If you are copying an old application please take time to update your work history section before submitting your application.
I do not have any experience.
I have 5 months or less of experience.
I have 6 months to 11 months of experience.
I have 1 year to 1 year, 11 months of experience.
I have 2 years to 2 years, 11 months of experience.
I have 3 years to 3 years, 11 months of experience.
I have 4 years of more of experience.
1A.
For the experience you indicated above, please select the the work duties you have performed.
Serving as a liaison between targeted communities and healthcare agencies.
Providing culturally appropriate health education/information AND outreach to targeted populations.
Providing referral and follow up services or otherwise coordinating care.
Providing informal counseling, social support and advocacy to targeted populations.
Escorting and transporting clients.
Providing courier/dispatcher functions.
Performing pre-clinical examinations of vital statistics, such as measuring a patient's weight, height, temperature and blood pressure.
I have not performed any of the duties listed above.
2.
Do you possess a Community Health Worker Certificate from City College of San Francisco?
Yes
No
3.
How much recent and verifiable experience do you have in the health or social services fields working in a direct service or administrative capacity with a feeling of being at ease to serve and/or to work effectively with a diverse population of patients, clients or communities, including but not limited to patients with histories of drug addiction, homelessness, incarceration, psychological trauma and/or other sensitive health issues, such as lesbian, gay, bi-sexual and transgender populations?
I do not have any experience
I have less than 6 months of experience
I have at least 6 months of experience, but less than 1 year of experience
I have at least 1 year of experience, but less than 2 years of experience
I have at least 2 years of experience, but less than 3 years of experience
I have 3 or more years of experience
4.
Are you bilingual proficient in English and Cantonese?
Yes
No
As a reminder, all qualifying experience and education must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the work experience or education on your application, you will not receive credit for this experience. If you are copying an old application please take time to update your work history and education section before submitting your application.
5.
CERTIFICATION: By checking this box, I certify that I am the author of this application and 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.
Department of Human Resources