Official SealDepartment of Human Resources

Supplemental Questionnaire

Last Name
First Name

Supplemental Questions

The purpose of this Supplemental Questionnaire is to obtain specific information regarding education, training and experience as they relate to the knowledge, skills, and abilities linked to the duties of this position.  This information will be used to assist in evaluating whether you possess the skill and experience, and will be made available to departmental personnel and management staff to assist in their hiring decisions.  The information you provide on this questionnaire should be consistent with the application and is subject to verification.


I hereby certify that I am the sole author of this supplemental application and that all information is true and is based on my background and experience, and is consistent with the information in my employment application.  I understand that any false or incorrect statement may result in my disqualification or dismissal from employment with the General Services Agency and City and County of San Francisco. I also understand and agree that any information provided is subject to verification.

Yes No

MQ1. Do you have a High School Diploma, or its equivalent (GED)?

Yes No

MQ2. Do you have at least six (6) months of routine kitchen work experience including use of a computer and
point of sales software?

Yes No

If you answered 'yes', please state the employer/s where you gained the experience and the dates of employment.


MQ3. Do you possess a current (unexpired) and valid Basic Food Safety Certification?

Yes No

MQ4. Do you have the physical ability to lift objects weighing up to fifty (50) pounds?

Yes No