The purpose of this supplemental questionnaire is to determine how you meet the minimum qualifications for the 0941 - Manager VI, Systems of Care Director position.
All information provided here must be consistent with the information listed on your application. All experience and education must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the experience and education in the corresponding sections of the application, you will not receive credit for them. If you are copying an old application, please take the time to update all information before submitting your application.
The information that you provide here does not substitute for the online application. All information provided is subject to verification. Responses cannot be altered after submission.
1
Select the statement that best matches the highest level of education you have completed. Do not include courses in progress.
Note: All experience must also be indicated in the application materials in order to be considered.
No formal college/university education.
Associate's Degree from an accredited college/university.
Bachelor's Degree from an accredited college/university.
Master's Degree from an accredited college/university
Doctorate Degree from an accredited college/university.
2
How much managerial experience do you possess in a behavioral health setting where you supervised health care professionals?
Note: All experience must also be indicated in the application materials in order to be considered.
I do not have this experience indicated above
Less than three (3) years of experience indicated above
At least three (3) years but less than four (4) years of experience indicated above
At least four (4) years but less than five (5) years of experience indicated above
At least five (5) years but less than six (6) years of experience indicated above
Seven (7) or more years of experience indicated above
3
Please indicate the valid license(s) you possess below (check all that apply):
Note: All licences must also be indicated in the application materials in order to be considered.
Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), or Licensed Marriage and Family Therapist (LMFT) issued by the California Board of Behavioral Sciences;
Psychologist license issued by the California Board of Psychology;
Doctor of Medicine license issued by the Medical Board of California;
Doctor of Osteopathy license issued by the Osteopathic Medical Board of California;
California Drivers License
I do not possess any license indicated above.
4
Do you possess a valid Drug Enforcement Administration registration with the United States Department of Justice?
Note: Registration must also be indicated in the application materials in order to be considered.
Yes
No
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 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