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#TEX-8234-107189
Supplemental Questionnaire

Last Name
First Name
 

SUPPLEMENTAL QUESTIONNAIRE

The purpose of this Supplemental Questionnaire is to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance in this position. All relevant experience, education and/or training must be on the supplemental questionnaire in order to be reviewed.  This information should be consistent with the information on your application (employment record, resume) and is subject to verification. The hiring department may review this information as part of their selection process.

Please be thorough and concise.  All of your information MUST be supplied in the spaces provided. Attachments or additional documents such as resumes, cover letters, or application will NOT be considered. (i.e. Writing “see resume/website/application” or “N/A” is not sufficient response.)

CERTIFICATION:  I hereby certify that I am the author of this supplemental questionnaire and that all information presented is true and based on my education and experience and is consistent with the information in my employment application. I understand that any false, incomplete or incorrect statement may result in my disqualification or dismissal from employment with the City and County of San Francisco. I also understand and agree that any information provided is subject to verification.

Yes No
1.

select the statement that best matches the number of years of experience you have in a public contact position providing or soliciting information by telephone or radio (such as positions with heavy public contact in answering complaints, telephone, or dispatching work). [Note: 1 year = 2000 work hours]

I possess 1 - 1 year and 11 months of experience as described above
I possess 2 - 3 years and 11 months of experience as described above
I possess 4 years or more of experience as described above
I possess less than 1 year of experience as described above
I do not possess this experience
2.

Select the statement that best matches the number of years of professional experience you have in the operation of digital communication lines, including experience in the maintenance and repair of electrical circuits (Note: 1 year = 2000 work hours)

 

I possess 1 year - 1 year 11 months of experience as described above
I possess 2 years - 2 years and 11 months of experience as described above
I possess 3 years and more of experience as described above
I possess 6 months or more of experience as described above
I possess less than 6 months or No experience
3.

Do you possess a valid driver license?

I do NOT possess a valid Driver License
I possess a valid California Driver License
I possess Driver License issued outside of State of California
4.

I possess ____ month(s)/year(s) of recent and verifiable experience using a Volt/Ohm meter for the maintenance and repair of electrical circuits.

More than 3 years
2 years or more
1 year or more
6 months or more
Less than 6 months or No experiece
5.

Please describe your experience and background dispatching emergencies and/or highly stressful situations.  Explain what the emergency was and/or what made the situation stressful.  List specific examples of how you have handled, resolved, and/or referred telephone emergencies, complaints, and/or problems from the public.

6.

Please describe your experience multi-tasking, such as responding to fire intrusion and alarms and/or emergency phone and radio calls.  Please explain why you chose to complete the tasks in the order you did them in.

7.

Please describe and give specific examples of your technical experience as it relates to analog and digital security, alarm systems, and/or video systems.  Please indicate the dates of employment and name(s) of the employer(s) where you gained the analog and digital security, alarm systems, and/or video systems experience.

8.

Please provide specific examples of when you had to take detailed logs, notes, and/or archive?  What steps/procedures were involved?  How were the logs, notes, archives taken (i.e. computer database, hand written, etc.)? Include in your answer the dates of employment and name(s) of the employer(s) where you gained experience taking detaild logs, notes, and/or archiving