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#TEX-2736-904135
Supplemental Questionnaire

Last Name
First Name

 

2736 Porter (Temporary Exempt)

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.

 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 and education you are about to describe in the "Employment Record" and "Education Record" sections of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your Employment Record before submitting your application.

A resume will not substitute for a completed application. If you write "see resume" on the application, your application may be rejected.   


1.

Please indicate the amount of paid custodial or janitorial experience at a commercial building (such as an office building, warehouse, retail or wholesale store), or non-profit agency or a commercial facility (such as a university, hospital, stadium, auditorium, hotel/motel, etc.) that you possess.

I have no experience
I have less than 6 months (1,000 hours) of experience
I have at least 6 months (1,000 hours) of experience but less than 1 year (2,000 hours)
I have at least 1 year (2,000 hours) of experience but less than 2 years (4,000 hours)
I have at least 2 years (4,000 hours) of experience but less than 3 years (6,000 hours) of experience
I have 3 years (6,000 hours) or more of experience
2.

Referring to question # 1, please specify the setting in which you gained the paid custodial or janitorial experience.

I have no custodial or janitorial experience.
Airplane or Bus
Airport
Auditorium/Theater Building
Commericial facility
Hospital
Hotel/Motel
Non-profit agency
Personal home (house cleaning)
Retail store
Shopping Mall
Stadium
University
Warehouse
Wholesale store
Other (please specify on your application)
None of the above
3.

Do you have a Certificate of Completion from a Custodial Training Program? (This means you have completed a Custodial Training Program and have received your certificate from the program. DO NOT COUNT UNITS/COURSES THAT ARE IN PROGRESS.)

Yes No
3A.

If you possess a Certificate of Completion from a Custodial Training Program, please indicate which of the following custodial training programs you earned your certificate from. (This means you have completed a custodial training program and have received your certificate from the program.)

I do not have a certificate of completion from a custodial training program
City College of San Francisco Building Maintenance (Custodial Training)
Community Housing Partnership, Property Management/Maintenance Program
Self Help for the Elderly, Housekeeping Program
Goodwill Industries Community Jobs Program (CJP) in a Janitor work assignment
CRDC - Career Resources Development Center's Maintrain Program
Toolworks Janitorial Training
Other custodial training program (please specify on your application)
None of the above
4.

Are you currently enrolled in a Custodial Training Program? ( This means you are currently taking classes to obtain a Certificate of Completion.) 

Yes No
4A.

Please indicate the custodial training program that you are CURRENTLY ENROLLED IN.

I am not currently enrolled in a custodial training program
City College of San Francisco Building Maintenance (Custodial Training)
Community Housing Partnership, Property Management/Maintenance Program
Self Help for the Elderly, Housekeeping Program
Goodwill Industries Community Jobs Program (CJP) in a Janitor work assignment
CRDC - Career Resources Development Center's Maintrain Program
Toolworks Janitorial Training
Other custodial training program (please specify on your application)
None of the above

 

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.


5.

I hereby certify that I am the author of this application 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.