2303 Patient Care Assistant (PCA) SUPPLEMENTAL QUESTIONNAIRE
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.
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.
1.
Do you possess valid a Patient Care Assistant Certificate issued by the State of California Department of Health Services?
As a reminder, please include your certificate in the "Professional Licenses/Certifications/Registrations" section of your application, in order to receive credit for this certificate. If you are copying an old application, please take the time to update the Professional Licenses/Certifications/Registrations section of your application before submitting your application.
Yes
No
2.
How much verifiable full-time equivalent work experience do you have as a health care worker within the last five (5) years working in a health care setting? (Full-time experience is equivalent to 40 hours per week.)
As a reminder, please include all work experience in the "Employment Record" section of your application in order to receive credit for this work experience. If you are copying an old application, please take the time to update the Employment Record section before submitting your application.
I have no experience
I have some but less than 6 months of experience
I have at least 6 months but less than 12 months of experience
I have at least 12 months but less than 24 months of experience
I have 24 or more months of experience
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 disqualification, dismissal, or termination of employment with the City and County of San Francisco.
Department of Human Resources