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#PBT-3215-110008
Supplemental Questionnaire

Last Name
First Name

 

PBT-3215-110008
3215 Aquatics Facility Supervisor

Minimum Qualification Supplemental Questionnaire

Please read the instructions carefully

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

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.  Please provide all information requested even if the information may appear redundant. Do not write, "See application" or “See resume.”  

All experience, education, and certifications/licensure referenced in this questionnaire MUST also appear in the work history, education, licensure 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 Minimum Qualification 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.

INSTRUCTIONS: This Minimum Qualification Supplemental Questionnaire is designed 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.
1

Based on your education, indicate the selection that best matches your HIGHEST educational attainment. (DO NOT COUNT UNITS THAT ARE IN PROGRESS.)
High School Diploma / G.E.D.
Attended some college and possess 1-14 semester units / 1-21 quarter units of coursework from an accredited college or university.
Attended some college and possess 15-29 semester units / 22-44 quarter units of coursework from an accredited college or university.
Attended some college and possess 30-59 semester units / 45-89 quarter units of coursework from an accredited college or university.
Attended some college and possess 60-89 semester units / 90-134 quarter units of coursework from an accredited college or university.
Attended some college and possess 90+ semester units / 135+ quarter units of coursework from an accredited college or university.
Completion of a Baccalaureate Degree from an accredited college or university.
Completion of a Master's Degree from an accredited college or university.
Completion of Ph. D. from an accredited college or university.
None of the above
2

How much verifiable experience do you have working as a Swimming Instructor? (NOTE: six (6) months of experience is equivalent to working 1,000 hours)

 
I do not have any verifiable experience as a Swimming Instructor.
Less than 6 months (1 hour minimum to 999 hours maximum) of verifiable experience as a Swimming Instructor.
6 months (1,000 hours minimum) to 11 months (1,999 hours maximum) of verifiable experience as a Swimming Instructor.
12 months (2,000 hours minimum) to 17 months (2,999 hours maximum) of verifiable experience as a Swimming Instructor.
18 months (3,000 hours minimum) to 23 months (3,999 hours maximum) of verifiable experience as a Swimming Instructor.
24 months (4,000 hours minimum) to 29 months (4,999 hours maximum) of verifiable experience as a Swimming Instructor.
30 months (5,000 hours minimum) to 35 months (5,999 hours maximum) of verifiable experience as a Swimming Instructor.
36 months (6,000 hours minimum) to 41 months (6,999 hours maximum) of verifiable experience as a Swimming Instructor.
42 months (7,000 hours minimum) to 47 months (7,999 hours maximum) of verifiable experience as a Swimming Instructor.
48 months (8,000 hours minimum) to 53 months (8,999 hours maximum) of verifiable experience as a Swimming Instructor.
54 months (9,000 hours minimum) to 59 months (9,999 hours maximum) of verifiable experience as a Swimming Instructor.
60 months (10,000 hours minimum) or more months of verifiable experience as a Swimming Instructor.
3

How much verifiable experience do you have working as a Lifeguard? (NOTE: six (6) months of experience is equivalent to working 1,000 hours)
I do not have any verifiable experience as a Lifeguard.
Less than 6 months (1 hour minimum to 999 hours maximum) of verifiable experience as a Lifeguard.
6 months (1,000 hours minimum) to 11 months (1,999 hours maximum) of verifiable experience as a Lifeguard.
12 months (2,000 hours minimum) to 17 months (2,999 hours maximum) of verifiable experience as a Lifeguard.
18 months (3,000 hours minimum) to 23 months (3,999 hours maximum) of verifiable experience as a Lifeguard.
24 months (4,000 hours minimum) to 29 months (4,999 hours maximum) of verifiable experience as a Lifeguard.
30 months (5,000 hours minimum) to 35 months (5,999 hours maximum) of verifiable experience as a Lifeguard.
36 months (6,000 hours minimum) to 41 months (6,999 hours maximum) of verifiable experience as a Lifeguard.
42 months (7,000 hours minimum) to 47 months (7,999 hours maximum) of verifiable experience as a Lifeguard.
48 months (8,000 hours minimum) to 53 months (8,999 hours maximum) of verifiable experience as a Lifeguard.
54 months (9,000 hours minimum) to 59 months (9,999 hours maximum) of verifiable experience as a Lifeguard.
60 months (10,000 hours minimum) or more months of verifiable experience as a Lifeguard.
4

Do you possess a Lifeguarding Certification issued by the American Red Cross or an equivalent certified issuing agency?
Yes No
5

Do you possess a Water Safety Instructor Certification issued by the American Red Cross or an equivalent certified issuing agency?
Yes No
6

Do you possess a Fitness Professional Certification issued by the Aquatic Exercise Association or an equivalent certified issuing agency?
Yes No
7

Do you possess a CPR/AED for the Professional Rescuer Certification issued by the American Red Cross or an equivalent certified issuing agency?
Yes No
8

Do you possess an Oxygen Administration for the Professional Rescuer Certification issued by the American Red Cross or an equivalent certified issuing agency?
Yes No
9

Do you possess a Lifeguard Instructor Certification issued by the American Red Cross or an equivalent certified issuing agency?
Yes No
10

Possession of an Aquatic Facility Operator Certification OR a Certified Pool Operator Certification is required either at time of hire or within six (6) months of appointment.

Do you currently possess an Aquatic Facility Operator Certification issued by the National Recreation and Park Association or an equivalent certified issuing agency?
Yes No
 

Do you currently possess a Certified Pool Operator Certification issued by the National Swimming Pool Foundation or an equivalent certified issuing agency?
Yes No
11

Possession of a First Aid for Public Safety Personnel Certification in accordance with Title 22 requirements is required within six (6) months of appointment.

Do you currently possess a First Aid for Public Safety Personnel Certification in accordance with Title 22 requirements?
Yes No
12

This recruitment requires submission of verification (proof) of qualifying certifications at time of filing application.

Will you submit verification of certifications prior to the filing deadline?  [Verification of qualifying certifications must be uploaded (.pdf) with your application.  If you are unable to upload the documents, you can scan and email the materials to eugenia.paw@sfgov.org, with the subject line: 3215 Verification.]
Yes No
 

CERTIFICATION:  I certify that I am the author of this form and that all the information presented is true and based upon my experience. I understand that prior to an appointment I may be required to provide written verification of any of the information provided above and that I may be required by the hiring department to participate in performance test(s) during the probationary period. I further understand that any false, incomplete, or incorrect statement may result in dismissal or termination of employment with the City and County of San Francisco.