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#CBT-2409-903672
Supplemental Questionnaire

Last Name
First Name

 

2409 Pharmacy Technician
Supplemental Questionnaire


All applicants are required to complete the supplemental questionnaire as part of the online application process. The purpose of the supplemental application is to determine whether applicants possess the minimum qualifications and possible special conditions for the 2409 Pharmacy Technician position. This information should be consistent with your application (i.e. must be included in the Education and Training and Employment Record sections) and is subject to verification.


1a.

Do you possess a valid Pharmacy Technician License/Registration issued by the California State Board of Pharmacy?

Yes No
1b.

If you answered "Yes" to Question #1a, please indicate the name as stated on your license, the license number, as well as the expiration date. If you answered "No," please explain.

2a.

Do you possess a valid Intern Pharmacist License/Registration issued by the California State Board of Pharmacy?

Yes No
2b.

If you answered "Yes" to Question #2a, please indicate the name as stated on your license, the license number, as well as the expiration date. If you answered "No," please type "N/A" in the box below.

3.

I have the following months/years of full time experience working as a pharmacy technician?

One year full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40 hour work week). Any overtime hours that you work above 40 hours per week are not included in the calculation to determine full-time employment.

I do not have any working experience yet
Up to 6 months total
7 to 11 months
1 year - 23 months
2 years to 35 months
3 years to 47 months
4 or more years
4.

I have the following verifiable full time experience preparing and/or compounding medications for patients?

I do not have any experience yet preparing and/or compounding medications for patients
At least six months full time equivalent
At least one year full time equivalent
More than two years full time equivalent
5.

I have verifiable full time experience maintaining drug inventory and pharmaceutical stock levels. (e.g. counting and checking stores of drugs and pharmaceuticals against standard, pre-set stock levels, ordering and verifying deliveries against invoices to ensure accuracy)

I have no experience yet of maintaining drug inventory
At least six months full time equivalent
At least one year full time equivalent
More than two years full time equivalent
6.

I have verifiable full time experience interacting with the public, patients and other health care providers, providing information, within the scope of a pharmacy technician, through personal contact at the Pharmacy window, patient care areas and by telephone.

I have no experience yet of public interaction providing pharmacy tech information
At least six months of full time equivalent experience
At least one year of full time equivalent experience
More than two years of full time euquivalent experience
 

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.