The purpose of this Supplemental Questionnaire is to obtain specific information regarding your education, experience, and/or training. Responses to items on the Supplemental Questionnaire 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. It is essential that you provide complete information in identifying your education, experience, and training. A resume will not substitute for a completed application. If you write "see resume" on the application or on the below questionnaire, your application may be rejected.
NOTE: Falsifying one's education, training, or work experience or attempted deception on the application or Supplemental Questionnaire may result in disqualification for this and future job opportunities with the City and County of San Francisco.
1.
The 2930 Behavioral Health Clinician requires possession of one of the following licenses or registrations issued by the California Board of Behavioral Sciences (BBS). Note that the license or registration must be current and valid at the time of the filing deadline of the announcement. If you do not possess the required license or registration you will not be able to continue in the selection process for this classification.
Please indicate which of the following licenses or registrations issued by the California BBS you currently possess:
Licensed Clinical Social Worker (LCSW)
Associate Social Worker (ASW)
Marriage and Family Therapist (MFT)
Marriage and Family Therapist Intern (MFTI)
Licensed Professional Clinical Counselor (LPCC)
Professional Clinical Counselor Intern (PCCI)
I do not possess any of the above licenses or registrations.
2.
How much verifiable, full-time experience do you have working with with people with severe mental illness in an inpatient psychiatric unit through an intensive case management program and/or in a psychiatric emergency room?
I have no experience.
I have some experience but less than one year.
I have at least one year of experience but less than two years.
I have two years of experience but less than three years.
I have three or more years of experience.
3.
How much verifiable, full-time experience do you have working with chronically homeless people in a community setting?
I have no experience.
I have some experience but less than one year.
I have at least one year of experience but less than two years.
I have two years of experience but less than three years.
I have three years or more experience.
4.
How much verifiable, full-time experience do you have in providing clinical supervision?
I have no experience.
I have some experience but less than one year.
I have at least one year of experience but less than two years.
I have two years of experience but less than three years.
I have three years or more experience.
5.
Describe your experience working within a harm reduction model. If you don't have this experience, please type "n/a".
6.
Describe your experience working with people with substance abuse. If you don't have this experience, please type "n/a".
CERTIFICATION: I hereby certify that I am the author of this supplemental questionnaire and 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 from the selection process for this position and/or dismissal from 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