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#TEX-9910-089432
Supplemental Questionnaire

Last Name
First Name

 

9910 Public Service Trainee: Dental Aide Trainee (TEX-9910-089432) Supplemental Questionnaire

The purpose of this supplemental questionnaire is to assist in determining if you meet the specified minimum qualifications of the position(s). All applicants are required to complete the supplemental questionnaire as part of the online process and the information you provide must be consistent with the information listed on your online application. Responses cannot be changed or edited after submission. All qualifying experience must be listed on your application to be considered in review of the minimum qualifications. If the experience described below is not included in the Employment Record section of your application, you will not receive credit for this experience. The supplemental questionnaire does not substitute for the online application. All statements are subject to verification.

Please provide all the information requested even if it may appear redundant. Do not write "See application" or "See resume" as a response.


1.

Select the statement that best matches the highest level of education you have completed.

High school diploma or equivalent (GED or High School Proficiency Examination)
Possession of an Associate's Degree from an accredited college or university
Possession of a Bachelor's Degree from an accredited college/university
Possession of a Master's Degree or higher from an accredited college/university
None of the above
2A.

Are you interested in becoming a Registered Dental Assistant?

Yes No
2B.

Are you currently taking courses to become a Registered Dental Assistant?

Yes No
3A.

Are you fluent in Cantonese or Mandarin?

Yes No
3B.

Are you fluent in Spanish?

Yes No
4A.

Have you worked with underserved populations?

Yes No
4B.

Have you worked with underserved children?

Yes No
4C.

If you selected "Yes" in question 4A and/or question 4B, please specify. In the box below, describe your experience in working with the underserved populations. If you selected "No" in question 4A and question 4B, please type "N/A" in the box below.

5.

Describe your experience using Microsoft Office Suite (including Excel, Word, and Outlook). If you did not have experience using Microsoft Office Suite, please type "N/A."

 

CERTIFICATION: By checking this box, I hereby certify that I am the author of the information supplied in this supplemental questionnaire. I understand that any false or incorrect statements may result in my disqualification or dismissal from employment with the San Francisco Department of Public Health and the City and County of San Francisco. I also understand and agree that the information provided is subject to verification.