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#CBT-7449-901882
Supplemental Questionnaire

Last Name
First Name

 

Instructions: The purpose of this Supplemental Questionnaire is to obtain specific information regarding your education and experience in relation to the 7449 Sewer Service Worker position. Your responses below will not be scored; however, it is essential that you provide complete information in identifying and describing your education and experience. The information you provide on this questionnaire will be used to determine your eligibility to proceed in the selection process for this position.

Please note: You must also completely fill out the Application/Employment History with all relevant experience. Your education and experience must be described in detail on the official application in order to be considered. Your responses below must be consistent with the information your provide in the employment history section of the application form. You may be asked to provide verification of your qualifying education and experience at any point of the recruitment and selection processes.

Please read each answer carefully before selecting the answer that best matches your education and experience.


1a

How much verifiable experience do you have in the repair, construction, inspection, and maintenance of municipal sewer systems?

No experience
Less than two (2) years of experience
At least two (2) years but less than four (4) years of experience
At least four (4) years but less than six (6) years of experience
At least six (6) years but less than eight (8) years of experience
Eight (8) years of experience or more
1b

Please provide the name of the agency where you gained the experience described above; the dates of employment and a brief description of this experience. The information should be reflected in your online application. If not applicable, type "N/A".

2

Do you have a current valid California driver's license?

Yes No
3a

How much verifiable experience do you have in the operation, installation, and maintenance of CCTV sewer cameras?

No experience
Less than one (1) year of experience
At least one (1) year but less than two (2) years of experience
At least two (2) years but less than three (3) years of experience
At least three (3) years but less than four (4) years of experience
At least four (4) years but less than five (5) years of experience
At least five (5) years but less than six (6) years of experience
Six (6) years of experience or more
3b

Please provide the name of the agency where you gained the experience described above; the dates of employment and a brief description of this experience. The information should be reflected in your online application. If not applicable, type "N/A".

4

Do you possess a NASSCO (National Association of Sewer Service Companies) Certification?

Yes No
5

Do you possess a CWEA (California Water Environment Association) Collections Certificate?

Yes No
6

I have submitted documentation verifying that I possess the minimum qualifications as stated on the announcement.

 

CERTIFICATION: I hereby certify that I am the author of this 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 of the selection process for this position and/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.