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#PEX-9910-903226
Supplemental Questionnaire

Last Name
First Name

 

9910 Public Service Trainee: Interpreter Trainee (PEX-9910-903226)

Supplemental Questionnaire

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

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 for the for the 9910 Public Service Trainee – Interpreter Trainee.

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, professional licenses, certifications or registrations and work experience in the respective Education, Professional Licenses/Certifications/Registrations, and Employment Record section of the application.

Resumes are NOT used or reviewed to determine whether you meet the minimum qualifications or to determine your score/rank. 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. Verification of required education, experience, and valid licensure certifications/registrations may be collected at any time.

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.

Have you successfully completed a Medical Interpreter educational program with classroom training administered by an accredited educational institution? (To be verified by transcript review.)

Yes No
1B.

If you selected "Yes" in question 1A., please specify below. Please provide the following information:

  1. Name of the accredited educational institution where you completed your Medical Interpreter program.
  2. Name of the Medical Interpreter program that you completed.
  3. Length of the Medical Interpreter program.
  4. Date the Medical Interpreter program was completed.

If you selected "No" in question 1A., please type "N/A." Please do not write "See Resume."

1C.

Are you currently enrolled in a Medical Interpreter educational program with classroom training administered by an accredited educational institution? (To be verified by transcript review.)

Yes No
1D.

If you selected "Yes" in question 1C., please specify below. Please provide the following information:

  1. Name of the accredited educational institution where you are enrolled in a Medical Interpreter program.
  2. Name of the Medical Interpreter program that you are currently enrolled in.
  3. Length of the Medical Interpreter program.
  4. Anticipated date of completion for your Medical Interpreter program.

If you selected "No" in question 1C., please type "N/A." Please do not write "See Resume."

2A.

Have you successfully completed a Medical Interpreter internship administered by an accredited educational institution? (To be verified by transcript.)

Yes No
2B.

If you selected "Yes" in question 2A., please specify below. Please provide the following information:

  1. Name of the accredited educational institution where you completed your Medical Interpreter Internship.
  2. Name of the internship that you completed.
  3. Location of the internship.
  4. Length of the internship.
  5. Date the internship was completed.
  6. Supervisor who can verify you completed the internship.

If you selected "No" in question 2A., please type "N/A." Please do not write "See Resume."

2C.

If you selected "Yes" in question 2A., please specify. Please briefly describe your Medical Interpreter Internship.

If you selected "No" in question 2A., please type "N/A." Please do not write "See Resume."

2D.

Are you currently enrolled in a Medical Interpreter internship administered by an accredited educational institution? (To be verified by transcript.)

Yes No
2E.

If you selected "Yes" in question 2D., please specify. Please briefly describe your Medical Interpreter Internship.

If you selected "No" in question 2D., please type "N/A." Please do not write "See Resume."

3.

How many months of verifiable Medical Interpreter classroom training and internship work from an accredited educational institution do you possess? 

None.
Less than 10 months (equivalent to 350 hours).
At least 10 months (equivalent to 350 hours), but less than one year (420 hours).
One year (420 hours), or more.
4A.

Indicate the language(s) other than English, in which you are certified to be fluent based on the completion of a Medical Interpreter educational program:

Cantonese AND Mandarin
Spanish
Other
I am not fluent in any other language
4B.

If you selected "Other" in question 4A., please specify below. If you did not select "Other," please type "N/A."

 

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.