The purpose of this Minimum Qualification Supplemental Questionnaire (MQSQ) is to determine if you meet the minimum qualifications of the position. The information you provide to the following questions does not substitute for the online application, and all information provided MUST be consistent with your application materials. You must still complete all sections of the online application. Please be sure to update all sections of your application prior to submission.
All information provided is subject to verification. Please do not write, "See Application" or "See Resume" as a response.
As a reminder, all qualifying experience and/or education must be listed in your application materials in order to be considered in review of Minimum Qualifications. If you are copying an old application please take time to update your work history section before submitting your application.
1.
How much verifiable experience do you have performing a combination of at least two (2) of the following duties WITHIN THE LAST FIVE (5) YEARS? (Note: One year is equal to 2,000 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.
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 at least 3 years of experience, but less than 4 years of experience
I have at least 4 years of experience, but less than 5 year of experience
I have 5 years or 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.
Are you bilingual in English and Spanish?
As a reminder, applicants must indicate on the application the language(s) in which they claim proficiency. Candidates deemed qualified who meet the special language condition must pass a departmentally approved language proficiency exam prior to appointment. Only those candidates who pass the bilingual proficiency exam will be considered for the bilingual position.
Yes
No
4.
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