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#PBT-9247-086372
Supplemental Questionnaire

Last Name
First Name
 

RECRUITMENT SURVEY: Your voluntary answers to this section will assist us in evaluating our recruitment efforts. How did you hear about this position?

LinkedIn
City & County of San Francisco's Employment website (jobaps.com/sf)
Received interest card email from the City & County of San Francisco
Indeed
Craigslist
Personal reference - in the next section, please provide the name
Job resource fair - in the next section, please provide the name
Other - in the next section, please provide the name of the site
 

If you checked any of the categories in the previous question that requests additional information, you may enter the information below.


 

SECTION 1: Supplemental Questionnaire

The purpose of this Supplemental Questionnaire is to obtain specific information regarding education, training and experience as they relate to the knowledge, skills, and abilities linked to the duties of this position.  This information will be used to assist in evaluating whether you possess the skill and experience, to determine your rank on the eligible list, and will be made available to departmental personnel and management staff to assist in their hiring decisions.  The information you provide on this questionnaire should be consistent with the application and is subject to verification.


 

Please select the statement that best matches your highest level of education.

Bachelor's degree and/or Advanced Degree
Associate's degree
Completed some college courses at an accredited college or university
High School Diploma or equivalent (G.E.D. or California High School Proficiency Examination)
None
 

Select the statement that best matches the number of years of experience you possess in emergency management.

No experience as described above.
Less than one (1) year of experience as described above.
Two (2) years but less than three (3) years of experience as described above.
Three (3) years or more of experience as described above.
 

Describe your work experience in the space provided below. If you do not possess experience in emergency management, please enter “N/A”.

Please provide the following information:

  • Dates of employment
  • Name(s) of employer(s) where you gained the experience
  • Experience in emergency management (e.g. design/conduct/evaluate emergency drills & exercises)
 

Select the statement that best matches the number of years of experience you possess in business continuity planning.

No experience as described above.
Less than one (1) year of experience as described above.
One (1) year but less than two (2) years of experience as described above.
Two (2) years but less than three (3) years of experience as described above.
Three (3) years or more of experience as described above.
 

Describe your work experience in the space provided below. If you do not possess experience in business continuity planning, please enter “N/A”.

Please provide the following information:

  • Dates of employment
  • Name(s) of employer(s) where you gained the experience
  • Experience in business continuity planning (e.g. developing mitigation strategies and creating scenarios to re-establish operations in the event of business interuptions)

 

SECTION 2: Training and Experience Evaluation

The questions in this section will be used to evaluate and rate your training and experience as they relate to the knowledge, skills and abilities linked to the essential functions of the position. Please be complete and specific in answering the questions as your score and rank on the eligible list will be based on the information provided. All work experience referenced must be included in the “Work History” section of the application in order for you to receive credit. If you are copying an old application, take time to update the work history section before submitting your application. A resume will not substitute for a completed application. If you write “see resume” on the application or on the questionnaire below, your application will be rejected.


1.

Which of the following FEMA classes have you completed and received a certificate?  Check all that apply.

IS 100.b - Introduction to Incident Command
IS 200.b - ICS for Single Resources and Initial Action Incidents
IS 300 - Intermediate ICS for Expanding Incidents
IS 400 - Advanced ICS for Command & General Staff
IS 700.a - National Incident Management System (NIMS) An Introduction
IS 800.a - National Response Framework An Introduction
IS 130 - Exercise Evaluation and Improvement Planning
IS 230.b - Fundamentals of Emergency Management
IS 235.a - Emergency Planning
IS 524 - Continuity of Operations (COOP) Planner's Workshop
IS 546.a - Continuity of Operations Awareness Course
IS 547.a - Introduction to Continuity of Operations
IS 548 - Continuity of Operations (COOP) Program Manager
IS 550 - Continuity Exercise Design Course
IS 775 - EOC Management & Operations
IS 317 - Intro to CERT
HSEEP E-147 - Homeland Security Exercise and Evaluation Program
MGT 330 - Homeland Security Exercise and Evaluation Program
G626 - Essential EOC Action Planning
G235 - Disaster Planning / Emergency Planning
G270.4 - Disaster Recovery
None
 

For each class completed, please provide: date(s) of completion. If you have not completed any of the classes, please type N/A in the box below.

2.

Incidents and/or events are categorized as to the complexity of their required responses.  Please select the highest degree of complexity in which you have participated in an assigned capacity during an actual event (not training event).

Type 1 - most complex incident, requiring national resources for safe and effective management and operation; operations personnel often exceed 500 per operational period and total personnel will usually exceed 100; all command and general staff positions filled.
Type 2 - incident extends beyond capabilities of local control and is expected to go into multiple operational periods; may require out of area resources including regional and/or national resources to effectively manage the operations, command, and general staffing; operations personnel normally do not exceed 200 per operational period and total incident personnel do not exceed 500; most or all command and general positions filled.
Type 3 - some or all of the command and general staff positions may be activated, as well as division/group supervisor to match the incident complexity; incident may extend into multiple operational periods.
Type 4 - several resources are required to mitigate the incident including task force or strike team; command staff and general staff functions are activated only if needed; incident usually limited to one operational period in the control phase.
Type 5 - incident handled with one or two single resources with up to six personnel; command and general staff positions are not activated; incident contained often within an hour to a few hours after resources arrive.
I do not possess the experience as described above.
 

Provide the following for the incident/event: date of event, your job title, your role, and name of employer. If you do not have the experience as described above, please type N/A in the box below.

3.

In accordance with Homeland Security Exercise and Evaluation Program (HSEEP) standards, which of the following types of exercises have you developed for an airport or airline? Check all that apply.

Full Scale Exercises
Functional Exercises
Drills
Tabletop Exercises
I do not possess the experience as described above, but willing to learn.
 

For each type of exercise developed, please provide: dates of employment, your title, your role, and name(s) of employer(s). If you do not have the experience as described above, please type N/A in the box below.

4.

Select the statement that best matches your work experience in developing, designing, coordinating, conducting, and evaluating Full Scale Exercises in accordance with Homeland Security Exercise and Evaluation Program (HSEEP) standards.

Three (3) or more years of working experience as described above.
Two (2) years of working experience as described above.
One (1) year of working experience as described above.
Less than one (1) year of working experience as describe above.
I do not possess the experience as described above, but willing to learn.
 

Describe your work experience with Full Scales Exercises by providing the following: dates of employment, your title, your role, and name(s) of employer(s). If you do not have the experience as described above, please type N/A in the box below.

5.

Select the statement that best matches your work experience in coordinating and/or supporting the Incident Command Post (ICP) and/or Emergency Operations Center (EOC) during an actual event (not training event).

Three (3) or more years of working experience as described above.
Two (2) years of working experience as described above.
One (1) year of working experience as described above.
Less than one (1) year of working experience as describe above.
I do not possess the experience as described above.
 

Describe your work experience with Incident Command Post (ICP) and/or Emergency Operations Center (EOC) by proving the following: dates of employment, your title, your role, and name(s) of employer(s). If you do not have the experience as described above, please type N/A in the box below.

6.

Select the statement that best matches your work experience in formulating and constructing business continuity plans that incorporate multiple stakeholders (i.e. airlines; airport; employees; public; travelers; federal, state, and local agencies; and/or tenants).

Three (3) or more years of working experience as described above.
Two (2) years of working experience as described above.
One (1) year of working experience as described above.
Less than one (1) year of working experience as describe above.
I do not possess the experience as described above, but willing to learn.
 

Describe your work experience with business continuity plans by proving the following: dates of employment, your title, your role, and name(s) of employer(s). If you do not have the experience as described above, please type N/A in the box below.

 

By checking this box, I hereby certify that I am the author of this Supplemental Questionnaire AND Training and Experience Evaluation 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.