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Supplemental Questionnaire

Last Name
First Name

 

All applicants are required to complete the Supplemental Questionnaire as part of the online application process. The responses in this supplemental questionnaire are mandatory for participation in this recruitment process.  The purpose of the Minimum Qualification Supplemental Questionnaire is to assess whether the applicant meets the minimum qualifications for the classification. The information provided must be consistent with the information on your application and is subject to verification. 


 

1. Based on your education, indicate the selection that best matches your HIGHEST educational attainment. Please do not include education in progress.

High School Diploma / G.E.D.
1 - 29 semester units or 1 - 44 quarter units of coursework from an accredited college/university
30 - 59 semester units or 45 - 89 quarter units from an accredited college or university
60 - 89 semester units or 90 - 134 quarter units from an accredited college or university
90 - 119 semester units or 135 - 179 quarter units from an accredited college or university
120 or more semester units or 180 or more quarter units from an accredited college or university
Bachelor's Degree from an accredited college or university
Master's Degree from an accredited college or university
Juris Doctor (JD) from an accredited college or university
PhD from an accredited college or university
None of the above
 

2. Which of the following best describes your major course work that you completed from an accredited college or university?

Business Administration
Business Law
Health Administration
Public Administration
Public Policy
Management
Other field of study. If other field of study, please indicate in the "Education" section of your applications.
My major area of study from an accredited college or university does not include any of the above or related field.
I do not possess any formal college/university education.
 

3. Select the statement that best matches your experience with an Emergency Medical Service (EMS) Agency. (2000 hours = 1 year)

I do not possess any of this experience
I possess less than 1 year of this experience
I possess 1 year 11 months of this experience
I possess 2 years 11 months of this experience
I possess 3 years 11 months of this experience
I possess 4 years 11 months of this experience
I possess 5 years 11 months of this experience
I possess 6 years 11 months of this experience
I possess 7 years 11 months of this experience
I possess 8 or more years of this experience
 

** For the experience indicated in the #3 question, please provide the following: name of the employer(s), dates of employment, your title, your role, and your responsibilities/duties in the text box below. If you do not have the experience as described above, please enter N/A in the box below. 

 

4. How much verifiable experience do you have in supervising Emergency Medical Service (EMS) professionals? (2000 hours = 1 year)

I do not possess any of this experience
I possess less than 1 year of this experience
I possess 1 year 11 months of this experience
I possess 2 years 11 months of this experience
I possess 3 years 11 months of this experience
I possess 4 years 11 months of this experience
I possess 5 years 11 months of this experience
I possess 6 years 11 months of this experience
I possess 7 years 11 months of this experience
I possess 8 or more years of this experience
 

** In the text box below, please describe your supervisory Emergency Medical service (EMS) professionals experience by providing the following: name of the employer(s), dates of employment, your title, your role, and your responsibilities/duties. If you do not have the experience as described above, please enter N/A in the box below. 

 

I understand that checking this box will serve as my electronic signature.  I hereby certify that I am the author of this author of this supplemental questionnaire and that all information is true and based on my education, training, skills, and experiences, and is consistent with the information on my employment application.  I understand that any false 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.