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Supplemental Questionnaire

Last Name
First Name


The purpose of this Supplemental Questionnaire is to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance in this position. All relevant experience, education and/or training must be on the supplemental questionnaire in order to be reviewed.  This information should be consistent with the information on your application (employment record, resume) and is subject to verification. The hiring department may review this information as part of their selection process.

Please be thorough and concise.  All of your information MUST be supplied in the spaces provided. Attachments or additional documents such as resumes, cover letters, or application will NOT be considered. (i.e. Writing “see resume/website/application” or “N/A” is not sufficient response.)

CERTIFICATION:  I hereby certify that I am the author of this supplemental questionnaire and that all information presented is true and based on my education and experience and is consistent with the information in my employment application. I understand that any false, incomplete or incorrect statement may result in my disqualification 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.

Yes No

I have or have held a Federal security clearance at the SECRET level or higher within the previous ten (10) years.

Yes No

I possess at least Ten (10) or more years of recent and verifiable experience within Information Communications Technology (ICT) that includes: a minimum of five (5) years of experience in the design and implementation of complex ICT systems related to information security AND a minimum of five (5) years of experience overseeing information security initiatives.

Yes No

I possess Four (4) years or more of managerial experience, which includes experience directly supervising professionals.

Yes No

I possess a Bachelor's degree from an accredited college or university in:

Computer Science
Business Administration
Managment Information Systems
I do not possess a Bachelor's degree

For "Other" selected above, please indicate the type of degree obtained.


Please provide specific examples from your work history that demonstrates how you have worked and interacted with executive and business stakeholders to make security a strategic priority that translated to business value.  Please also indicate the dates of employment and name(s) of the employer(s) where you gained the experience.


Please describe how you will fit in with and bring a common security approach to the City and County of San Francisco's culture of a decentralized organization structure.


Please describe how you will assess risk and implement a risk management program that ensures the integrity, confidentiality, and availability of information that is owned, controlled, or processed by City departments.