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#CBT-6130-903047
Supplemental Questionnaire

Last Name
First Name

 

6130 Safety Analyst

CBT-6130-903047

Supplemental Questionnaire

All applicants are required to complete the Supplemental Questionnaire as part of the online application process. Responses cannot be changed or edited after submission. Insufficient or non-responsive answers to the Supplemental Questionnaire may result in ineligibility, disqualification, or lower scores.  

Responses to items on the Supplemental Questionnaire must be supported by the information provided on the application in order to receive appropriate credit. Please provide a response to each question below to the best of your ability.  Please provide all information requested even if the information may appear redundant. Do not write, "See application" or “See resume.”  

All experience and education referenced in this questionnaire MUST also appear in the work history and/or education sections of your application. The information provided must be consistent with the information on your application and is subject to verification

NOTE: Falsifying one's education, training, or work experience or attempted deception on the application or Supplemental Questionnaire may result in disqualification for this and future job opportunities with the City and County of San Francisco. 

It is suggested that you:

  • Allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline
  • Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities
  • Make note of any error messages and contact the analyst before the filing deadline, if you experience technical difficulties.

INSTRUCTIONS: The purpose of the Minimum Qualification Supplemental Questionnaire is to assess whether the applicant meets the minimum qualifications for the classification. The minimum qualifications have been identified as critical for satisfactory performance in this classification. The information provided must be consistent with the information on your application and is subject to verification. The responses on the Supplemental Questionnaire are mandatory for participation in this recruitment process.


 

Based on your education, please select the option that best matches your HIGHEST educational attainment (DO NOT COUNT UNITS THAT ARE IN PROGRESS).

High School Diploma / G.E.D
Attended some college and posses 1-14 semester units / 1-21 quarter units of coursework from accredited college, university or business school.
Attended some college and posses 15 29 semester units / 22-44 quarter units of coursework from accredited college, university or business school.
Attended some college and posses 30-59 semester units / 45-89 quarter units of coursework from accredited college, university or business school.
Attended some college and posses 60-89 semester units / 90-134 quarter units of coursework from accredited college, university or business school.
Attended some collage and posses 90+ semester units / 135+ quarter units of coursework from accredited college, university or business school.
Completion of a Baccalaurate Degree from an accredited college, university or business school.
Completion of a Master's Degree from an accredited college, university or business school.
Completion of Juris Doctor (JD) from an accredited college, university or business school.
Completion of Ph.D. from an accredited college, university or business school.
None of the above
 

Please select the appropriate field of study of your college degree:

Safety
Safety Management
Occupational Safety and Heath
Other
 

How much verifiable professional experience in occupational safety do you have? The professional occupational safety experience should include implementing occupational safety programs, conducting work site inspections and conducting safety trainings (weapons, ordinance, and systems safety is not qualifying).

I do not possess any professional experience in occupational safety.
I possess up to 11 months of professional experience in occupational safety.
I possess 1 year to 1 year 11 months of professional experience in occupational safety.
I possess 2 years to 2 years 11 months of professional experience in occupational safety.
I possess 3 years to 3 years 11 months of professional experience in occupational safety.
I possess 4 years to 4 years 11 months of professional experience in occupational safety.
I possess 5 years or more of professional experience in occupational safety.
 

Do you possess a valid driver's license?

Yes No
 

Do you possess a certification as a Certified Safety Professional (CSP)?

Yes No
 

By checking this box, I understand that I may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. I also understand that falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

 

CERTIFICATION:  I certify that I am the author of this form and that all the information presented is true and based upon my experience. I understand that prior to an appointment I may be required to provide written verification of any of the information provided above and that I may be required by the hiring department to participate in performance test(s) during the probationary period. I further understand that any false, incomplete, or incorrect statement may result in dismissal or termination of employment with the City and County of San Francisco.