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#CBT-2904-902808
Supplemental Questionnaire

Last Name
First Name

 

Human Services Agency

Minimum Qualification Supplemental Questionnaire

2904 Human Services Technician

CBT-2904-902808

 

This supplemental questionnaire will be used to determine that you meet the minimum qualifications for the 2904 Human Services Technician examination. Responses to items must be supported by information provided on the application and is subject to verification.

Please be sure to include all relevant education and experience in the work history and education sections of the application. A resume will not substitute for this supplemental questionnaire or for a completed application.

As a reminder, all work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline. If you are copying and old application, take the time to update your work history and other information before submitting your application.


1

Please indicate the selection that best matches your HIGHEST educational attainment.

As a reminder, all qualifying education must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the education experience you are about to describe in the "Education History" section of your application, you will not receive credit for this education. If you are copying an old application, please taken the time to update your work history section before submitting your application.  

I possess a High School Diploma or equivalent (GED or High School Proficiency Examination)
I possess 1-29 semester units/1-44 quarter units of coursework from an accredited college /university
I possess 30-59 semester units/45-89 quarter units of coursework from an accredited college/university
I possess 60-89 semester units/90-134 quarter units of coursework from accredited college/university
I possess 90-119 semester units/135-179 quarter units of coursework from an accredited college/university
I possess an Associate degree from an accredited college
I possess a Baccalaureate degree from an accredited college/university
I possess a Master's degree or higher from an accredited college/university
None of the above
2

In which of the following majors listed below, have you completed fifteen (15) semester units (or equivalent quarter units) of coursework, from an accredited college or university:

As a reminder, all qualifying work experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the work experience you are about to describe in the "Work History" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your work history section before submitting your application.   

Child Development
Social Welfare
Social Services
Human Services
Sociology
Other behaviorial science
3

How much verifiable work experience do you have providing services to seniors or adults with disabilities in a public or private setting. An example of qualifying experience would be a case aide or para-professional in an adult services or in-home supportive services program, adult care facility, group home, residential treatment facility, shelter workshop for developmentally delayed, or nutritional sites. Experience as an independent provider is not qualifying experience.

As a reminder, all qualifying work experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the work experience you are about to describe in the "Work History" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your work history section before submitting your application.  

I have NONE of this experience
I have LESS THAN one (1) year (Less than 2,000 hours) of work experience
I have at least two (2) years (4,000 hours) of work experience
I have three (3) years (6,000 hours) or more years of work experience
 

Certification

By checking this box, I hereby certify that I am the sole author of this supplemental application. I further acknowledge that all information provided is consistent with my employment application and is true and correct based on my education, training, skills, and/or experience. I understand that any false or incorrect statement may result in my disqualification from this and future examinations and/or dismissal from employment with the City and County of San Francisco. I also understand and agree to provide verification, when requested.