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#PBT-0922-090583
Supplemental Questionnaire

Last Name
First Name

 

All applicants are required to complete the supplemental questionnaire as part of the online application process. The questionnaire will be used to assess each candidate's possession of the minimum qualifications.  Responses to items on the supplemental questionnaire must be supported by the information provided on the application. This information is subject to verification. Please be sure to include all relevant education and experience in the work history and education sections of the application. Resumes are not used or reviewed to determine whether you meet the minimum qualifications or to determine your score/rank. A resume should not be submitted to substitute for a completed application. If you write "see resume" on the application, or on the supplemental questionnaire, your application may be rejected.


 

Part One:  EDUCATION AND EXPERIENCE QUALIFICATIONS

INSTRUCTIONS FOR QUESTIONS #1 - #6:  Please answer all applicable questions by choosing the best response that matches your education and experience.

1.  Please select the option that best matches your HIGHEST educational attainment:

High School Diploma / G.E.D.
Attended some college and possess 0-29 semester / 0-44 quarter units of coursework from an accredited college/university
Attended some college and possess 30-59 semester / 45-89 quarter units of coursework from an accredited college/university
Attended some college and possess 60+ semester / 90+ quarter units of coursework from an accredited college/university
Completion of an Associate Degree from an accredited college/university
Completion of a Baccalaureate Degree from an accredited college/university
Completion of a Masters Degree from an accredited college/university
Completion of a Juris Doctorate Degree from an accredited college/university
Completion of a Ph.D. from an accredited college/university
None of the above
 

2.  I possess a Baccalaureate Degree or higher from an accredited college or university in:

Business Administration
Public Administration
Public Safety
Emergency Management
Other Major
None - I do not possess a Baccalaureate Degree or higher
 

3.  I possess a valid Emergency Medical Dispatcher - Quality Assurance (EMD-Q) Certificate.

Yes
No - I do not possess a valid Emergency Medical Dispatcher - Quality Assurance (EMD-Q) Certificate
 

4.  I possess a valid Emergency Fire Dispatcher - Quality Assurance (EFD-Q) Certificate.

Yes
No - I do not possess a valid Emergency Fire Dispatcher - Quality Assurance (EFD-Q) Certificate
 

5.  How much full time verifiable experience do you have as a public safety dispatcher?

I do not have any experience as a public safety dispatcher
I have some, but less than 1 year of experience as a public safety dispatcher
I have 1 year to 1 year 11 months of experience as a public safety dispatcher
I have 2 years to 2 years 11 months of experience as a public safety dispatcher
I have 3 years to 3 years 11 months of experience as a public safety dispatcher
I have 4 years to 4 years 11 months of experience as a public safety dispatcher
I have over 5 years of experience as a public safety dispatcher
 

6.  How much full time verifiable supervisory experience do you have in public safety environment?

I do not have any supervisory experience in public safety environment
I have some, but less than 1 year of experience
I have 1 year to 1 year 11 months of experience
I have 2 years to 2 years 11 months of experience
I have 3 years to 3 years 11 months of experience
I have 4 years to 4 years 11 months of experience
I have over 5 years of experience

 

Part Two:  POSITION-SPECIFIC RELATED EXPERIENCE

This section of the application will weight 50% of each candidate's final score.

INSTRUCTIONS FOR QUESTIONS #7 - #14:  The purpose of this Supplemental Questionnaire is to determine your knowledge, skills and abilities in job-related areas that have identified as critical for satisfactory performance in this position.  The information provided should be consistent with the information on your application and is subject to verification. 


 

7.  Select the statement that best matches your experience as a public safety dispatcher (include any time as a direct supervisor of public safety dispatchers). 

I do not have any working experience as a public safety dispatcher.
I have less than five (5) years of working experience as a public safety dispatcher.
I have five (5) to nine (9) years of working experience as a public safety dispatcher in ONE discipline (law enforcement, fire or medical).
I have five (5) to nine (9) years of working experience as a public safety dispatcher with MORE THAN ONE discipline (at least two of: law enforcement, fire or medical).
I have ten (10) or more years of working experience as a public safety dispatcher in ONE discipline (law enforcement, fire or medical).
I have ten (10) or more years of working experience as a public safety dispatcher with MORE THAN ONE discipline (at least two of: law enforcement, fire or medical).
 

List the name of your Employer/Agency, your Supervisor, and his or her contact information along with the dates of employment where you gained the experience indicated in the previous question.

Also list your Position or Job Title at the time the task was performed and the average number of hours worked per week you performed the task.

(If you did not perform this function please type N/A in the box below.)

 

8.  Select the statement that best matches your experience in conducting structured compliance reviews (Quality Assurance/Quality Control) based on records (that is, not direct observation or outcome-based) and provide appropriate performance plans.

I do not have any working experience as described above.
I have less than one (1) year of working experience as described above.
I have one (1) to two (2) years of working experience as described above.
I have three (3) to four (4) years of working experience as described above.
I have five (5) or more years of working experience as described above.
 

List the name of your Employer/Agency, your Supervisor, and his or her contact information along with the dates of employment where you gained the experience indicated in the previous question.

Also list your Position or Job Title at the time the task was performed and the average number of hours worked per week you performed the task.

(If you did not perform this function please type N/A in the box below.)

 

9.  Select the statement that best matches your experience in planning and implementing major changes to dispatch protocols. 

No working experience as described above.
Experience implementing major changes to dispatch protocol from a supervisory level.
Experience implementing major changes to dispatch protocol from a supervisory level, as well as having a significant part in implementation planning.
Experience in leading the planning and implementing of major changes to dispatch protocol.
 

List the name of your Employer/Agency, your Supervisor, and his or her contact information along with the dates of employment where you gained the experience indicated in the previous question.

Also list your Position or Job Title at the time the task was performed and the average number of hours worked per week you performed the task.

(If you did not perform this function please type N/A in the box below.)

 

10.  Select the statement that best matches your experience with development and management of the production of briefing documents, analyses, reports and presentations, and other required documents related to public safety systems’ performance and operations. 

I do not have any working experience as described above.
I have less than one (1) year of working experience as described above.
I have one (1) to two (2) years of working experience as described above.
I have three (3) to four (4) years of working experience as described above.
I have five (5) or more years of working experience as described above.
 

List the name of your Employer/Agency, your Supervisor, and his or her contact information along with the dates of employment where you gained the experience indicated in the previous question.

Also list your Position or Job Title at the time the task was performed and the average number of hours worked per week you performed the task.

(If you did not perform this function please type N/A in the box below.)

 

11.  Select the statement that best matches your experience with conducting oral presentation to senior management and stakeholders. 

I do not have any working experience as described above.
I have less than one (1) year of working experience as described above.
I have one (1) to two (2) years of working experience as described above.
I have three (3) to four (4) years of working experience as described above.
I have five (5) or more years of working experience as described above.
 

List the name of your Employer/Agency, your Supervisor, and his or her contact information along with the dates of employment where you gained the experience indicated in the previous question.

Also list your Position or Job Title at the time the task was performed and the average number of hours worked you performed the task.

(If you did not perform this function please type N/A in the box below.)

 

12. Select the statement that best matches your experience with Federal, State and local government/accrediting organization standards pertaining to public safety dispatch. 

I do not have any working experience as described above.
I have less than one (1) year of working experience as described above.
I have one (1) to two (2) years of working experience as described above.
I have three (3) to four (4) years of working experience as described above.
I have five (5) or more years of working experience as described above.
 

List the name of your Employer/Agency, your Supervisor, and his or her contact information along with the dates of employment where you gained the experience indicated in the previous question.

Also list your Position or Job Title at the time the task was performed and the average number of hours worked per week you performed the task.

(If you did not perform this function please type N/A in the box below.)

 

13.  Select the statement that best matches your experience with recognizing and analyzing problems, developing solutions and recommending a course of action that considers goals, policies, resource constraints and risks. 

I do not have any working experience as described above.
I have less than one (1) year of working experience as described above.
I have one (1) to two (2) years of working experience as described above.
I have three (3) to four (4) years of working experience as described above.
I have five (5) or more years of working experience as described above.
 

List the name of your Employer/Agency, your Supervisor, and his or her contact information along with the dates of employment where you gained the experience indicated in the previous question.

Also list your Position or Job Title at the time the task was performed and the average number of hours worked per week you performed the task.

(If you did not perform this function please type N/A in the box below.)

 

14.  Select the statement that best matches your supervisory or managerial experience.

I do not have any working experience as described above.
I have less than five (5) years of working experience as described above.
I have five (5) to six (6) years of working experience as described above.
I have seven (7) to nine (9) years of working experience as described above.
I have ten (10) or more years of working experience as described above.
 

List the name of your Employer/Agency, your Supervisor, and his or her contact information along with the dates of employment where you gained the experience indicated in the previous question.

Also list your Position or Job Title at the time the task was performed and the average number of hours worked per week you performed the task.

(If you did not perform this function please type N/A in the box below.)

 

I hereby certify that I am the author of this supplemental questionnaire and that all information is true and based on my background, skills, and experiences.  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.

Yes No