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#TEX-2589-090596
Supplemental Questionnaire

Last Name
First Name

 

2589 Health Program Coordinator I (TEX-2589-090596)

The purpose of this supplemental questionnaire is to determine how you meet the minimum qualifications for the position(s). The information that you provide here does not substitute for the online application. All information provided MUST be consistent with the information listed on your application.

Questions 1 and 2 will help us determine if you meet the minimum qualifications for this position. Questions 3 and 4 will assist with this recruitment and may be considered at the end of the selection process, when candidates are referred for hiring.

All information provided is subject to verification. Please do not write, "See Application" or "See Resume" as a response. Resumes will not be reviewed.


1.

How many years of professional level administrative or management experience do you have with primary responsibility for overseeing, monitoring, and/or coordinating a program providing health and/or human services?

NOTES:

  • Clerical, recordkeeping, scheduling, case management, class instruction/training, health education and direct client service experience is not qualifying experience.
  • Professional experience is defined as an individual that interprets laws and regulations and exercises independent judgement in the application of defined principles, practices, and regulations.
  • One year of experience is equal to 2,000 hours worked.
No experience, or less than 1 year (<2,000 hours)
At least one year, but less than 2 years (2000 to 3,999 hours)
At least two years, but less than 3 years (4,000 to 5,999 hours)
At least three years, but less than 4 years (6,000 to 7,999 hours)
At least four years, but less than 5 years (8,000 to 9.999 hours)
At least five years, but less than 6 years (10,000 to 11,999 hours)
At least six years, but less than 7 years (12,000 to 13,999 hours)
Seven or more years of experience (14,000 + hours)
 

Please identify the dates, organizations, and roles, where you gained this experience.

2.

What is your highest level of educational attainment? Do not include courses in progress.

High school diploma or equivalent
Some college and 1-29 semester / 1-44 quarter units
Some college and 30-59 semester / 45-89 quarter units
Some college and 60-89 semester / 90-134 quarter units
Some college and 90-119 semester / 135-179 quarter units
Some college and 120 or more semester / 180 or more quarter units
BA / BS Degree from an accredited college or university
MA / MS Degree from an accredited college or university
PhD from an accredited college or university
None of the above
 

What was your major program of study? Type "N/A" if this question does not apply to you.

  • Identify the institution(s), where you gained the education indicated above and number of years attended.
3.

Please briefly describe your experience working in a healthcare setting with a Patient Advisory Council or a Patient Population.

  • What was your role?
  • Where did you work?
  • How did your work impact the patient experience? 
4.

Please briefly describe your experience working with data in a healthcare environment.

  • What was your role?
  • Where did you work?
  • How did you use data? (Identify the systems.)
  • What impact did the data have on the patient experience? 
 

CERTIFICATION: By checking this box, I certify that I am the author of this application and supplemental questionnaire 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.