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#CBT-2822-903542
Supplemental Questionnaire

Last Name
First Name

 

2822 Health Educator  (CBT-2822-903542)

The purpose of this supplemental questionnaire is to determine if you meet the minimum qualifications of the position. The information you provide to the following questions does not substitute for the online application and all information provided should be consistent with the information you listed on your application and is subject to verification. Please be sure to update all sections of your application prior to submission.

 


1.

Based on your Education, indicate the selection that best matches your HIGHEST educational attainment (do NOT count units that are in progress).

High School Diploma/G.E.D.
Attended some college and possess 30-89 semester units/45-89 quarter units of coursework from an accredited college or university.
Completion of an Associates Degree from an accredited college or university.
Attended some college and possess 90+ semester units/135+ quarter units of coursework from an accredited college or university.
Completion of a Baccalaureate Degree from an accredited college or university.
Completion of a Master's degree from an accredited college or university.
None of the above.
2.

Based on your Education, indicate the subject matter below that best matches the major of your degree, or the majority of your coursework.

Public Health
Other closely related field
Other unrelated field
None of the above
3.

Please indicate which of the below courses that you have completed. Please indicate all that apply.

Please note that all information about education is subject to verification at anytime during the application process.

program planning/evaluation
community assessment/intervention
public health education/social behavior theory
community organization/promotion
groups process
training fundamentals
culture/ethnic diversity
eliminating health disparities/inequities
community based research methods
None of the Above
4.

How much verifiable work experience do you have as a health educator in a public or community health setting?

(One year of experience is equivalent to 2000 hours/40 hours per week.)

As a reminder, please include all work experience in the "Employment Record" section of your application in order to receive credit for this work experience, as resumes will not be reviewed for this purpose. If you are copying an old application, please take the time to update the Employment Record section before submitting your application.

I have none of this type of experience
I have some health educator experience but not in a public or community health setting.
I have some but less than 6 months (1,000 hours) of experience as a health educator in a public or community health setting.
I have at least 6 months (1,000 hours) but less than 12 months (2,000 hours) of experience as a health educator in a public or community health setting.
I have at least 12 months (2,000 hours) but less than 24 months (4,000 hours) of experience as a health educator in a public or community health setting.
I have more than 24 months (4,000 hours) of experience as a health educator in a public or community health setting.
4.a.

Please write below where and what dates you obtained your experience as a health educator indicated above; for example, 

  • Name of Employer or school where this experience was obtained, and
  • Dates of experience (MM/YYYY - MM/YYYY)
5.

Please indicate which experience you possess below. Please select all that apply.

Experience working with diverse, underserved communities.
Public health experience with policy system and environment change
None of the above
 

CERTIFICATION: I understand that checking this box will serve as my electronic signature. I certify that I am the author of this questionnaire and all information presented is true and based upon my education, training, skills, and experience. I understand and agree that any information provided is subject to verification. I also understand that any false, incomplete, or incorrect statement may result in disqualification, termination, or dismissal from employment with the City and County of San Francisco.