All applicants are required to complete the supplemental questionnaire as part of the online application process. The questionnaire will be used to assess each candidate’s possession of the minimum qualifications.
Responses to items on the supplemental questionnaire must be supported by the information provided on the application. This information is subject to verification. Please be sure to include all relevant education and experience in the work history and education sections of the application. Resumes are not used or reviewed to determine whether you meet the minimum qualifications. A resume should not be submitted to substitute for a completed application. If you write "see resume" on the application, or on the supplemental questionnaire, your application may be rejected.
If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with the information on your employment application and are subject to verification.
1A.
Do you possess a Home Health Aide Certificate issued by the State of California?
As a reminder, all licenses/certifications must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the certification you are about to describe in the "Professional Licenses, Certifications, or Registrations" section of your application, you will not receive credit for this certification. If you are copying an old application, please take the time to update your Professional Licenses, Certifications, or Registrations before submitting your application.
Yes
No
1B.
If you answered "Yes" to Question 1A, please provide your California Home Health Aide (HHA) certificate number, your name as it appears on your HHA certificate, and the expiration date of your certificate. If you answered "No," to Question 2A, please provide additional information below.
2A.
How much full-time equivalent experience do you have performing Home Health Aide job duties in a home health care setting within the last five (5) years? (Full-time is equivalent to 40 hours per week.)
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 "Employment Record" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your Employment Record before submitting your application.
I do not possess any experience performing Home Health Aide job duties in a home health care setting within the last five (5) years.
I possess less than 6 months (1,000 hours) of experience performing Home Health Aide job duties in a home health care setting within the last five (5) years.
I possess at least 6 months (minimum 1,000 hours) but less than 12 months (2,000 hours) of experience performing Home Health Aide job duties in a home health care setting within the last five (5) years.
I possess at least 12 months (minimum 2,000 hours) but less than 24 months (4,000 hours) of experience performing Home Health Aide job duties in a home health care setting within the last five (5) years.
I possess at least 24 months (minimum 4,000 hours) of experience performing Home Health Aide job duties in a home health care setting within the last five (5) years.
2B.
Please provide the name of the employer(s) and the dates of employment (e.g., MM/YYYY-MM/YYYY) where you obtained the experience you selected in question 2A.
In addition, please list the names of the supervisor(s) or manager(s) who can verify the information provided as well as his or her contact information. If you selected "None." please type N/A.
DO NOT type "See Resume."
2C.
Referring to your answers in questions 2A and 2B., please provide a brief description of your verifiable professional work experience as indicated in questions 2A and 2B. In your answer, include details about your specific role, your primary duties, and your responsibilities. If you selected "No Experience," please type N/A.
DO NOT type “See Resume.”
CERTIFICATION: I hereby certify that all information is true and based on my education, training, skills, and experience. I understand that any false or incorrect statement may result in my disqualification of the selection process for this position and/or dismissal from employment with the City and County of San Francisco. I also understand and agree that any information provided is subject to verification.
Department of Human Resources