The purpose of this Supplemental Questionnaire is to determine if you meet the minimum qualifications of the position. The information you provide to the following questions does not substitute for the online application, and all information provided MUST be consistent with the information listed on your application. You must still complete all sections of the online application. Please be sure to update all sections of your application prior to submission.
All information provided is subject to verification. Please do not write, "See Application" or "See Resume" as a response. Resumes will not be reviewed.
As a reminder, all qualifying education and experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the education and experience you are about to describe in your application, you will not receive credit for this education and experience. If you are copying an old application please take time to update your application before submitting your application.
1.
How much verifiable experience do you have performing a combination of at least two (2) of the following duties WITHIN THE LAST FIVE (5) YEARS? (Note: One year is equal to 2,000 hours)
Serving as a liaison between targeted communities and health care agencies;
providing culturally appropriate health education/information and outreach to targeted populations;
providing referral and follow up services or otherwise coordinating care;
providing informal counseling, social support and advocacy to targeted populations;
escorting and transporting clients;
providing courier /dispatcher functions;
performing pre-clinical examinations of vital statistics, such as measuring a patient’s weight, height, temperature and blood pressure.
As a reminder, all qualifying experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the work experience you are about to describe in the "Work History" section of your application, you will not receive credit for this experience. If you are copying an old application please take time to update your work history section before submitting your application.
I do not have any experience.
I have 5 months or less of experience.
I have 6 months to 11 months of experience.
I have 1 year to 1 year, 11 months of experience.
I have 2 years to 2 years, 11 months of experience.
I have 3 years to 3 years, 11 months of experience.
I have 4 years to 4 years, 11 months of experience.
I have 5 years or more of experience.
1A.
For the experience you indicated above, please select the the work duties you have performed.
Serving as a liaison between targeted communities and healthcare agencies.
Providing culturally appropriate health education/information AND outreach to targeted populations.
Providing referral and follow up services or otherwise coordinating care.
Providing informal counseling, social support and advocacy to targeted populations.
Escorting and transporting clients.
Providing courier/dispatcher functions.
Performing pre-clinical examinations of vital statistics, such as measuring a patient's weight, height, temperature and blood pressure.
I have not performed any of the duties listed above.
2.
Do you possess a Community Health Worker Certificate from City College of San Francisco?
Yes
No
3.
How many years of verifiable experience do you have working as a Medical Interpreter?
I do not have experience working as a Medical Interpreter
I have less than 1 year of experience working as a Medical Interpreter
I have at least 1 year, but less than 2 years of experience working as a Medical Interpreter
I have at least 2 years, but less than 3 years of experience working as a Medical Interpreter
I have at least 3 years, but less than 4 years of experience working as a Medical Interpreter
I have 4 years or more of experience working as a Medical Interpreter
4.
Do you possess a certificate of completion of a Medical Interpreter educational program from an accredited college or university?
Yes
No
5.
Do you have a national certification in Interpreting from the Certification Commission for Health Care Interpreters(CCHI)?
Yes
No
6.
Do you possess a national certification in Interpreting from the National Board of Certification for Medical Interpreters (NBCMI)?
Yes
No
7.
Do you possess a Bachelor's Degree or higher in Interpreting, or Translation and Interpretation from an accredited college of university?
Yes
No
8.
If your answer to question #7 is "Yes," please specify the area of your degree?
This question does not apply to me
Translation and Interpretation
Interpreting
9.
Positions will require proficiency in a specific target language other than English. Please indicate which language(s) you are proficient in.
(Candidates deemed qualified who meet the special language condition must pass a departmentally approved language proficiency exam prior to appointment.)
I am not bilingual in English and another language.
Arabic
American Sign Language
Cantonese
Hindi
Korean
Lao
Mandarin
Russian
Spanish
Taishanese
Tagalog
Thai
Vietnamese
Other (please specifiy on your application)
10.
CERTIFICATION: By checking this box, I certify that I am the author of this application and supplemental questionnaire and that all information is true based on my background, skills and experiences. I understand that any false, incomplete or incorrect statement, regardless of when it was discovered, may result in my disqualification or dismissal from my employment with the City and County of San Francisco. I understand and agree that any information provided is subject to verification.
Department of Human Resources