MINIMUM QUALIFICATION SUPPLEMENTAL QUESTIONNAIRE (MQSQ) 2588 Health Worker 4
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 the information listed on your application. 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.
Important Reminder: All qualifying experience and 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 the time to update your application 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)
I have no experience performing the duties listed above
I have less than 6 months of experience performing the duties listed above
I have at least 6 months, but less than 1 year of experience performing the duties listed above
I have at least 1 year, but less than 2 years of experience performing the duties listed above
I have at least 2 years, but less than 3 years of experience performing the duties listed above
I have at least 3 years, but less than 4 years of experience performing the duties listed above
I have 4 years or more of experience performing the duties listed above
2.
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.
3.
Do you possess a Community Health Worker certificate from City College of San Francisco?
Yes
No
4.
CERTIFICATION: I understand that checking this box will serve as my electronic signature. I certify that I am the author of this questionnaire and all information presented is true and based upon my education, training, skills, and experience. I understand and agree that any information provided is subject to verification. I also understand that any false, incomplete, or incorrect statement may result in disqualification, termination, or dismissal from employment with the City and County of San Francisco.
Department of Human Resources