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#CBT-2940-903807
Supplemental Questionnaire

Last Name
First Name

 

Minimum Qualification Supplemental Questionnaire

2940 Protective Services Worker - Family and Children's Services

 

This Supplemental Questionnaire will be used to determine that you meet the minimum qualifications for the 2940 Protective Services Worker position.  Responses to items must be supported by the information provided on the application and is subject to verification.

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.

High School Diploma / G.E.D.
Less than 1 year of college (1-29 semester / 1-44 quarter units)
1 year of college (30-59 semester / 45-89 quarter units)
2 years of college (60-89 semester / 90-134 quarter units)
3 years or more of college (90-119+ semester / 135+ quarter units)
Associates Degree from an accredited college or university
Bachelors Degree from an accredited college or university
Masters 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
2.

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

Social Work
Marriage and Family Therapy
Clinical Counseling
Mental Health Counseling
Counseling Psychology
Addiction Counseling
Other Behavioral Science
Other field (unrelated to those listed)
None of the above / I do not possess any college/university units
3.

How many semesters of graduate field placement involving the provision of direct services to families or children in one of the following or closely related areas have you completed?

  • Child Welfare
  • Juvenile Probation
  • Family Counseling
  • School Social Work
  • Pediatric Social Work
  • Adolescent Alcohol and Drug Counseling
I possess some experience, but less than one (1) semester/15 weeks
I possess one (1) semester/15 weeks, but less than two (2) semesters/30 weeks of experience in the areas described above.
I possess two (2) semesters/30 weeks or more of experience in the areas described above.
I have not completed any field placement in the areas described above.
4.

How much post baccalaureate professional work experience which involved the provision of direct services to families or children in ones of the following areas have you completed?

  • Child Welfare
  • Juvenile Probation
  • Family Counseling
  • School Social Work
  • Pediatric Social Work
  • Adolescent Alcohol and Drug Counseling
I possess some but less than six (6) months of full-time equivalent experience in the areas described above.
I possess six (6) months or more of full-time equivalent experience in the areas described above.
I have no professional work experience in any of the areas listed above.
 

CERTIFICATION: By checking this box, I certify that my responses are true and complete to the best of my knowledge. I understand and agree that any information provided is subject to verification. I also understand that falsification of this record may result in my disqualification or dismissal from employment with the City and County of San Francisco.