Family and Children Protective Services Supplemental Questionnaire
(CBT-2940-903300)
INSTRUCTIONS: This supplemental questionnaire will be used to assess your possession of the minimum qualifications as well as experience in job-related areas for the 2940 Family and Children Protective Services position for which you are applying and MUST be submitted with the official application. Supporting documentation (such as licenses, letters, resumes, etc.) will not substitute for this supplemental questionnaire.
As a reminder, all work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline. If you do not include the work experience you are about to describe on your application, you will be rejected. If you are copying an old application, take the time to update your work history and other information before submitting this application.
1
Please indicate the selection that best matches your HIGHEST educational attainment.
I possess a High School Diploma or equivalent (GED or High School Proficiency Examination).
I possess an Associate degree from an accredited college.
I possess a Baccalaureate degree from an accredited college/university.
I possess a Master's Degree in Social Work from a school accredited by the Council on Social Work education (CSWE).
I possess a Master's Degree from a two-year counseling program from an accredited college or university.
None of the Above
2
I have verifiable graduate field placement , which involved the provision of direct services to families or children in one of the following or closely related areas:
Child Welfare
Family Counseling
Pediatric Social Work
Juvenile Probation
Adolescent Alcohol and Drug Counseling
School Social Work
Other Related Field
None of the Above
If you checked Other Related Field in question # 2, please describe your experience.
If you did not checked Other Related Field, please type "NO"
3
I possess six (6) months of post baccalaureate professional work experience which involved the provision of direct services to families or children in one of the areas previously described.
Yes
No
4
Do you possess a valid California class C driver''s license and clear Motor Vehicle Record (MVR)?
Yes
No
5
CERTIFICATION By checking this box, I hereby certify that I am the sole author of this supplemental application. I further acknowledge that all information provided is consistent with my employment application and is true and correct based on my education, training, skills and/or experience. I understand that any false or incorrect statement may result in my disqualification from this and future examinations and/or dismissal from employment with the Human Services Agency and City and County of San Francisco. I also understand and agree to provide verification, when requested.
Department of Human Resources