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#PBT-0931-100585
Supplemental Questionnaire

Last Name
First Name

 

0931 - Manager III - Health Services Manager

PBT-0931-100585

Minimum Qualifications Supplemental Questionnaire

The purpose of the Minimum Qualification Supplemental Questionnaire (MQSQ) is to assess whether the applicant meets the minimum qualifications for the 0931 Manager III position. 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 Minimum Qualifications Supplemental Questionnaire are mandatory for participation in this recruitment process.

Please be sure to include all relevant education and experience in the work history and education sections of the application. A resume will not substitute for this supplemental questionnaire or for a completed application.

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 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.

As a reminder, all qualifying education must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the education experience you are about to describe in the "Education History" section of your application, you will not receive credit for this education. If you are copying an old application, please taken the time to update your work history section before submitting your application. (DO NOT COUNT UNITS THAT ARE IN PROGRESS.)

High School Diploma / G.E.D.
Less than 1 year of college (1-29 semester / 1-44 quarter units)
1 year or more of college (30-59 semester / 45-89 quarter units)
2 years of more of college (60-89 semester / 90-134 quarter units)
3 years of more of college (90-119+ semester / 135+ quarter units)
Associate's Degree from an accredited college or university
Bachelor's Degree from an accredited college or university
Master's Degree or other graduate degree (for example, J.D.) from an accredited college or university
Ph.D from an accredited college or university
None of the above
1a.

Please indicate your major area of study as it relates to your response in Question 1.

Social Work
Public Administration
Business Administration
Law
Other closely related degree
Other field (unrelated to those listed)
None of the above / I do not possess any college/university units
2.

How much verifiable professional experience in a social, legal aid, or health services organization that provides benefit assistance, employment services, behavioral health services, and/or other supportive services to low income families and individuals do you possess?

(NOTE: One year is equivalent to working 2,000 hours)

I possess some but less than one (1) year of full-time equivalent experience in the areas described above.
I possess one (1) year to 1 year 11 months of full-time equivalent experience in the areas described above.
I possess two (2) years to 2 years 11 months of full-time equivalent experience in the areas described above.
I possess three (3) years to 3 years 11 months of full-time equivalent experience in the areas described above.
I possess four (4) years to 4 years 11 months of full-time equivalent experience in the areas described above.
I possess five (5) years or more of full-time equivalent experience in the areas described above.
I have no full-time equivalent experience in the areas described above.
3.

How much verifiable experience do you possess supervising professionals in the fields listed in Question 2?

(NOTE: One year is equivalent to working 2,000 hours)

I possess some but less than one (1) year of full-time equivalent experience in the areas described above.
I possess one (1) year to 1 year 11 months of full-time equivalent experience in the areas described above.
I possess two (2) years to 2 years 11 months of full-time equivalent experience in the areas described above.
I possess three (3) years to 3 years 11 months of full-time equivalent experience in the areas described above.
I possess four (4) years to 4 years 11 months of full-time equivalent experience in the areas described above.
I possess five (5) years or more of full-time equivalent experience in the areas described above.
I have no full-time equivalent experience in the areas described above.
 

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.


 

 


 

0931 - Manager III - Health Services Manager

PBT-0931-100585

Supplemental Questionnaire

The purpose of the Supplemental Questionnaire (SQ) is to describe your training and experience as they relate to the knowledge, skills, and abilities (KSA) linked to the essential functions of the 0931 - Manager III position.

Your answers will be evaluated and scored. Only the information you provide in your answers to these questions will be evaluated to determine your score in the selection process for this position. No attachments or additional documents such as resumes, cover letters, publications, or employment applications will be considered (i.e. Writing ‘see resume’ OR ‘n/a’ is not a sufficient response for any of the questions below).

This Supplemental Questionnaire will be presented to an expert review panel for an assessment and will be used as part of the examination process to determine candidates’ score and rank on the Score Report. Insufficient or non-responsive answers and/or answers that are plagiarized or have falsified information may result in disqualification from the recruitment process.

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


 

By checking the following box, I acknowledge that I have read, understand, and agree to the above listed information regarding the supplemental questionnaire instructions.

1.

Describe a time when you had to implement a new rule, policy or procedure. Please include the following: 

  • What was the policy, rule, or procedure?
  • Who was affected by the change?
  • How did you approach the implementation process?
  • What specific steps did you take to ensure implementation?
  • What was the outcome?
1a.

List the employer(s), date(s), and your job title(s)/job class(es) where you gained the experience indicated in the previous question.

2.

The County Adult Assistance Program in San Francisco works in collaboration with other Programs within the Human Services Agency as well as other City Departments to more effectively serve mutual clients.  Describe your experience working with other agencies and/or programs to streamline service delivery to clients.

  • What was the project?
  • What was your role in the project?
  • Who else worked with you on this project?
  • Who were the customers or stakeholders in this project?
  • How were success and failure defined for this project?
  • What was the outcome?
2a.

List the employer(s), date(s), and your job title(s)/job class(es) where you gained the experience indicated on the previous question.

3.

Describe a time when you had to solve a problem within your program or department that impacted multiple stakeholders including clients served. The problem and solution should be at a policy or procedure level, not an individual client’s issue.

In your response, please include:

  • What the problem was and how it was ascertained that it was a problem?
  • Your reasoning for developing and implementing your solution.
  • Other people involved in this project and what their titles/roles were.
  • Any problems that arose or may arise and what you did (or will do) to address them.
  • What was the outcome?
3a.

List the employer(s), date(s), and your job title(s)/job class(es) where you gained the experience indicated in the previous question.