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#PBT-0931-113152
Supplemental Questionnaire

Last Name
First Name

 

0931 ZSFG Rehabilitation Services Manager (PBT-0931-113152)
Supplemental Questionnaire


Thank you for investing the time to apply for this position. Things to know before you begin:

  • This Supplemental Questionnaire collects information about education and experience relevant to this position's Minimum Qualifications (MQs)
  • In the weeks after the application deadline, only applicants who meet MQs will advance to the Management Test Battery exam
  • After you submit this SQ, it cannot be changed


1

Can you provide documentation of your Master’s degree from an accredited university in either ...

  • Physical Therapy
    OR
  • Occupational Therapy
    OR
  • Speech and Language Pathology

... that meet these requirements?
Please upload required documents later in this application

Yes No
2

How many years of verifiable professional experience do you have in a hospital-based rehabilitation program?
One (1) year of experience is equivalent to 2,000 hours

Less than 1 year
1 to 4 years
5 years or more
None
3

How many years of verifiable experience do you have supervising professionals in a hospital-based rehabilitation program?
One (1) year of experience is equivalent to 2,000 hours

Less than 1 year
1 to 2 years
3 years or more
None
4

Which license was issued to you by a California Board?

Physical Therapy 
Occupational Therapy
Speech-Language Pathology & Audiology & Hearing Aid Dispensers
None of the above
5

Enter the license number issued to you by the California Board above that will show, "LICENSE RENEWED & CURRENT,"  when searched at https://search.dca.ca.gov/.
Please enter numbers only

 

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.

After you submit this SQ, it cannot be changed