Official SealDepartment of Human Resources

Supplemental Questionnaire

Last Name
First Name


City and County of San Francisco
Department on the Status of Women

1820 - Junior Administrative Analyst

This Supplemental Questionnaire will be used to gather additional information on qualified candidates. 

Resumes and other unsolicited materials will not be accepted in lieu of this Supplemental Questionnaire. All documents submitted will not be returned and will become a permanent part of the examination records.

All statements made on this Supplemental Questionnaire are subject to verification. Providing false, inaccurate, incomplete or misleading information may result in disqualification, ineligibility or separation from employment.


Please describe any experience you have managing a grant program at a government agency, community-based organization and/or a non-profit organization.



Please describe any experience or education you have related to gender equity and/or women's studies.


Please describe why you are interested in working for the Department on the Status of Women.


I hereby certify that I am the author of this 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 8414 Supervising Probation Officer, Juvenile Court selection process 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.