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#TEX-9924-090841
Supplemental Questionnaire

Last Name
First Name

 

9924 Public Service Aide (Community Health Engagement Aide)

TEX-9924-990841

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 and desirable 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. 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.

If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with the information on your employment application and are subject to verification.


1a.

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

No formal college education
Some college education but not currently enrolled in an accredited college or university
Current enrollment in a baccalaureate program from an accredited college or university
Completion of a baccalaureate program from an accredited college or university
Current enrollment in a graduate program from an accredited college or university
Completion of a graduate program from an accredited college or university
1b.

Please select the field(s) of study for the degree(s) that you completed or are currently enrolled in. 

Public Health
Public Policy
Public Administration
Business Administration
Physical Science (e.g. Chemistry, Physics, Biology)
Other
1c.

If you indicated "Other" in Question #1b., please specify below. Otherwise, please type "N/A" in the box below.

2.

Which of the following non-English languages do you speak fluently? (check all that apply)

Arabic
Chinese (Cantonese)
Chinese (Mandarin)
Japanese
Korean
Russian
Spanish
Tagalog
Vietnamese
Other
None of the above
3.

Describe your experience using Microsoft Office Suite (including Excel, Word, Access, and Outlook).

4.

Describe your experience in directing outreach, education, and training to various communities.

 

CERTIFICATION: I hereby certify that all information is true and based on my education, training, skills, and experience. I understand that any false or incorrect statement may result in my disqualification of the selection process for this position and/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.