Department of Human Resources

2930 Behavioral Health Clinician (CBT-2930-902829)
Training and Experience (T&E) Evaluation

Please Read The Following Instructions Carefully

Your Examination Score Will Be Derived From Your Responses To The Questions Below

The purpose of this Training and Experience Evaluation is to determine whether you meet the minimum qualifications of a 2930 Behavioral Health Clinician, as well as to determine your knowledge, skills and abilities and experience in job-related areas that have been identified as critical for satisfactory performance in this position. Please refer to the examination announcement for a more detailed description of these knowledge, skills, and abilities. Question #4 on bilingual proficiency is not scored.

This Training and Experience Evaluation will be assessed and scored to account for 100% of the total weight of your final score on the resulting 2930 Behavioral Health Clinician eligible list. Applicants must achieve a passing score in order to be ranked on the eligible list. Successful applicants will be placed on the eligible list, in rank order, according to their final score on the Training and Experience Evaluation.

The information provided should be consistent with the information on your application and is subject to verification. Verification of experience, licensure, and possession of valid certifications/certificates may be collected at any time during or after the selection process so please choose the best answer for the questions below. Once submitted, applicant responses cannot be changed.

We suggest that you allow ample time to submit your application and answer the questions below.

The 2930 Behavioral Health Clinician requires possession of one of the following licenses or registrations issued by the California Board of Behavioral Sciences (BBS).

Note that the license or registration must be current and valid as of the filing deadline of the announcement. If you do not possess the required license or registration, you will not be able to continue in the selection process for this classification.

Please indicate which of the following licenses or registrations issued by the California BBS you currently possess:

Please enter your California BBS License/Registration number and expiration date. If you do not have this license, then write, "None."

1a). Please indicate your total number of years (1 year = 2,000 hours) of post-master's degree professional experience in any behavioral health settingg(s).

The City and County of San Francisco provides services for diverse populations with health disparities and needs for culturally competent care.

For each question below, please indicate your total number of years (1 year = 2000 hours) of post-Master's degree professional experience.

2a). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving Young children / children (0 – 13 years old).

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving Young children / children (0 – 13 years old). If you have none, then write, "None."

2b). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving Transition-age youth (14 – 24 years old).

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving Transition-age youth (14 – 24 years old). If you have none, then write, "None."

2c). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving Older adults (>60 years old).

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving Older adults (>60 years old). If you have none, then write, "None."

2d). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving Families.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving Families. If you have none, then write, "None."

2e). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving persons who are Homeless/indigent.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving persons who are Homeless/indigent. If you have none, then write, "None."

2f). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving Immigrants / refugees / limited English proficiency.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving Immigrants / refugees / limited English proficiency. If you have none, then write, "None."

2g). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving persons with Cognitive impairment(s).

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving persons with Cognitive impairment(s). If you have none, then write, "None."

2h). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving Substance users.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving Substance users. If you have none, then write, "None."

2i). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving Forensic population(s).

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving Forensic population(s). If you have none, then write, "None."

2j). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving the Black / African-American community.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving the Black / African-American community. If you have none, then write, "None."

2k). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving the LGBTQ / Gender non-conforming community.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving the LGBTQ / Gender non-conforming community. If you have none, then write, "None."

2l). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience serving persons living with HIV / AIDS.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience serving persons living with HIV / AIDS. If you have none, then write, "None."

The City and County of San Francisco provides behavioral health services in many different settings.

For each question below, indicate your total number of years (1 year = 2,000 hours) of post-master's degree professional experience.

3a). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience in a Mental health clinic.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience in a Mental health clinic. If have none, then write, "None."

3b). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience in an Inpatient psychiatric unit / hospital.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience in an Inpatient psychiatric unit / hospital. If have none, then write, "None."

3c). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience in a Psychiatric emergency room / crisis services.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience in a Psychiatric emergency room / crisis services. If have none, then write, "None."

3d). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience in a Primary care / speciality clinic.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience in a Primary care / speciality clinic. If have none, then write, "None."

3e). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience in a School-based services setting.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience in a School-based services setting. If have none, then write, "None."

3f). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience in a Criminal justice setting.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience in a Criminal justice setting. If have none, then write, "None."

3g). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience in a Client home / residential treatment / supportive housing / long-term care / intensive case management setting.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience in a Client home / residential treatment / supportive housing / long-term care / intensive case management setting. If have none, then write, "None."

3h). Indicate your total number of years (1 year = 2000 hours) of post-master's degree professional experience in a Substance Use Disorder (SUD) provider setting.

Provide the dates (MM/YYYY - MM/YYYY), organizations, and roles, where you gained this experience in a Substance Use Disorder (SUD) provider setting. If have none, then write, "None."

Do you have bilingual proficiency in any of the following languages?

Note: If selected, candidates for bilingual positions must pass a bilingual proficiency test. 

(This question is not scored.)

If you selected "Other," then please indicate the language below. Write, "N/A" if this question does not apply to you.