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#TEX-2574-070258
Supplemental Questionnaire

Last Name
First Name

 

2574 CLINICAL PSYCHOLOGIST (TEX-2574-070258)

CRISIS INTERVENTION SPECIALIST

 SUPPLEMENTAL QUESTIONNAIRE

 

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

 

The purpose of the Supplemental Questionnaire is to assist with assessing required and desirable qualifications for the 2574 Clinical Psychologist – Crisis Intervention Specialist position.

It is suggested that you allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline. 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.


1.

Do you have a valid license as a Clinical Psychologist issued by the California Board of Psychology?

As a reminder, all qualifying licensure must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the licensure you are about to describe in the applicable sections of your application, you will not receive credit. If you are copying an old application, please take the time to update applicable sections before submitting your application.

Yes No
2.

Do you have a valid Driver License issued by the State of California or another state?

Yes No
3.

From the options below, please identify your relevant training and experience. Select all that apply.

Experience providing bilingual services to clients who don’t speak English
Experience or training in crisis support services
Experience working with children and adults
Experience working in a community mental health setting
Experience working with a multidisciplinary team
None of the above
 

I understand that checking this box will serve as my electronic signature. I certify that I am the author of this questionnaire and all information presented is true and based upon my education, training, skills, and experience. I understand and agree that any information provided is subject to verification. I also understand that any false, incomplete, or incorrect statement may result in disqualification, termination, or dismissal from employment with the City and County of San Francisco.