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#TPV-7335-094001
Supplemental Questionnaire

Last Name
First Name
 

MINIMUM QUALIFICATIONS SUPPLEMENTAL QUESTIONNAIRE INSTRUCTIONS

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY AS THEY CONTAIN IMPORTANT INFORMATION:

The purpose of this Supplemental Questionnaire (SQ) is to describe your training and experience as they relate to the minimum qualifications for the recruitment, as stated on the announcement.

The responses that you provide to this SQ should be consistent with the information on your application, and are subject to verification.

By checking the box, I acknowledge that I have read, understood, and agreed to the supplemental questionnaire instructions listed above.

A.

Please select the amount of Stationary Engineer Apprenticeship program education you possess:

No Stationary Engineer Apprenticeship program education
Some Stationary Engineer Appreticeship program education, but not completed
Completion of a recognized four (4) year Stationary Engineer Apprenticeship program
B.

Please select the amount of experience you possess as a journey-level Stationary Engineer:

No experience
Less than one (1) year of experience
One (1) but less than two (2) years of experience
Two (2) but less than three (3) years of experience
Three (3) but less than four (4) years of experience
Four (4) but less than five (5) years of experience
Five (5) or more years of experience
C.

Are you currently in possession of a Universal Chlorofluorocarbon (CFC) certificate issued by the Federal Environmental Protection Agency for working with heating and ventilating equipment (HVAC) or other refrigeration equipment using CFCs and HCFCs?

Yes No
D.

Are you currently in possession of a valid driver’s license?

Yes No
E.

Please select the amount of Maritime Academy education you possess:

No Maritime Acadaemy education
Some Maritime Academy education, but not completed
Graduation from a recognized four (4) year Maritime Academy
F1.

Are you currently in possession of at least a 3rd Assistant Marine Engineer's license of any horsepower?

Yes No
F2.

Please select the amount of unrestricted licensed Marine Engineer for merchant vessels experience you possess:

No experience
Less than one (1) year of experience
One (1) or more years of experience
F3.

Please select the amount of shore side experience you possess as a journey level stationary engineer:

No experience
Less than one (1) year of experience
One (1) or more years of experience
 

CERTIFICATION: I hereby certify that I am the author of this application and that all information is true and based on my background, skills and experience. I understand that any false, incomplete, or incorrect statements may result in my disqualification or dismissal from employment with the City and County of San Francisco. I understand and agree that any information provided is subject to verification.