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#PEX-6138-106749
Supplemental Questionnaire

Last Name
First Name

 

6138 - Industrial Hygienist - HSA

PEX-6138-106749

Minimum Qualification Supplemental Questionnaire

All applicants are required to complete the Minimum Qualification Supplemental Questionnaire (MQSQ) as part of the online application process. Responses cannot be changed or edited after submission. Insufficient or non-responsive answers to the MQSQ may result in ineligibility, disqualification, or lower scores.

Responses to items on the MQSQ must be supported by the information provided on the application in order to receive appropriate credit. Please provide a response to each question below to the best of your ability. Please provide all information requested even if the information may appear redundant. Do not write, "See application" or “See resume.”

All experience and education referenced in this questionnaire MUST also appear in the work history and/or education sections of your application. The information provided 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 MQSQ may result in disqualification for this and future job opportunities with the City and County of San Francisco.


INSTRUCTIONS: The purpose of the MQSQ is to assess whether the applicant meets the minimum qualifications for the classification. The minimum qualifications have been identified as critical for satisfactory performance in this classification. The information provided must be consistent with the information on your application and is subject to verification. The responses on the MQSQ are mandatory for participation in this recruitment process.


 

By checking the following box, I acknowledge that I have read, understand, and agree to the above listed information regarding the MQSQ instructions.

1.

Please indicate the selection that best matches your highest educational attainment (DO NOT COUNT UNITS THAT ARE IN PROGRESS)

 

High School Diploma / G.E.D.
Less than 1 year of of college (1-29 semester units / 1-44 quarter credits)
1 year or more of college (30-59 semester units / 45-89 quarter credits)
2 years or more of college (60-89 semester units / 90-134 quarter credits)
3 years or more of college (90-119 semester units / 135+ quarter credits)
Associates Degree
Bachelors Degree
Masters Degree or other graduate degree (for example, J.D.)
Ph.D
None of the above
2.

In which of the following majors have you completed/declared your Associate degree, Baccalaureate degree, or Master's degree or higher:

Industrial Hygiene
Occupational Safety and Health
Environmental Health/Management
Other closely related field
I do not possess an Associate degree, Baccalaureate degree, Master's degree, or higher degree in any of the above listed fields
3.

How much professional industrial experience equivalent to the level of classes 6137 Assistant Industrial Hygienist or 6138 Industrial Hygienist, which must have included professional industrial hygiene activities including either hazardous materials management or identification, evaluation, and control of occupational health hazards, such as noise, radiation, asbestos, various chemicals, do you have? 

I have NONE of this experience
I have less than 1 year (less than 2,000 hours) of this experience
I have 1 year (2,000 hours) to 1 year 11 months of this experience
I have 2 years (4,000 hours) to 2 years 11 months of this experience
I have 3 years (6,000 hours) or more of this experience
4.

Do you possess a valid California Class C driver license AND a good driving record?

Yes No
5.

 

Do you possess a valid Industrial Hygienist certificate issued by the American Board of Industrial Hygiene?

Yes No
6.

How did you hear about this recruitment?

City and County of San Francisco Website
City and County of San Francisco Email
LinkedIn
The American Industrial Hygiene Association (AIHA)
Environment, Health, and Safety Careers (EHSCareers)
iHireEnvironmental
Google
Social Media Platform
School Job Board/Career Website
Recommendation from a friend/family/colleague
Recruiter
Other (please specify below)
 

If you selected Other, please specify.

 

CERTIFICATION: By checking this box, I certify that my responses are true and complete to the best of my knowledge. I understand and agree that any information provided is subject to verification. I also understand that falsification of this record may result in my disqualification or dismissal from employment with the City and County of San Francisco.