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Supplemental Questionnaire

Last Name
First Name

 

Minimum Qualification Supplemental Questionnaire

INSTRUCTIONS: The purpose of the Minimum Qualification Supplemental Questionnaire 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 Minimum Qualification Supplemental Questionnaire are mandatory for participation in this recruitment process.

Responses to items on the Minimum Qualification Supplemental Questionnaire 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.

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 Supplemental Questionnaire may result in disqualification for this and future job opportunities with the City and County of San Francisco.

It is suggested that you:

  • Allow ample time to submit your application and Minimum Qualification Supplemental Questionnaire responses before the filing deadline
  • Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities
  • Make note of any error messages and contact the analyst before the filing deadline, if you experience technical difficulties

1.

How many full-time years of professional level administrative or management experience do you have with primary responsibility for overseeing, monitoring, and/or coordinating a program providing health and/or human services?

I have no experience.
I have some experience but less than one year.
I have at least one year of experience but less than two years.
I have at least two years of experience but less than three years.
I have at least three years of experience but less than four years.
I have at least four years of experience but less than five years.
I have at least five years of experience but less than six years.
I have at least six years of experience but less than seven years.
I have seven years or more of experience.
2.

Where did you obtain your experience (please list all that apply)? If you do not possess this experience, put "N/A."

3.

What is the highest level of education you have completed? (Do not count units/school currently in progress.)

I have no higher eduction completed.
I have completed 30 semester units/45 quarter units.
I have obtained an associate's degree (completed 60 semester units/90 quarter units).
I have completed 90 semester units/135 quarter units.
I have obtained a bachelor's degree.
I have obained a master's degree (or higher).
4.

If you have obtained a master's degree or higher, what was your area of study? (If not applicable to you, put "N/A.)

5.

How much full-time experience do you have supervising employees/teams?

I have no experience.
I have some experience but less than one year.
I have at least one year of experience but less than two years.
I have two years or more of experience.
6.

How many years of experience do you have with grant management, including budgeting and monitoring responsibilities?

I have no experience.
I have some experience but less than one year.
I have at least one year of experience but less than two years.
I have two years or more of experience.
7.

Please describe your program management experience providing homeless and/or housing services. If you do not possess this experience, put "N/A."

8.

Please describe your familiarity with Whole Person Care and other Medicaid Waiver programs. If you don't possess this experience, put "N/A."

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