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Supplemental Questionnaire

Last Name
First Name

0931 Manager III, Permit Manager, BSM

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 in the minimum qualifications and rating process to determine candidates’ score on the Supplemental Questionnaire Evaluation. This information should be consistent with the information on your application (employment record, not resume) and is subject to verification.

All of your responses to the questionnaire MUST be supplied in the spaces provided. Please provide all information requested even if the information may appear redundant. Please be thorough but concise.

Attachments or additional documents such as resumes, cover letters, or application will NOT be considered. (i.e. Writing “see resume/website/application” is not sufficient response.). Failure to do so may result in disqualification or a lower score on the examination.

There are three (3) questions that you must answer by giving specific examples of your most relevant experiences. Describing a variety of experiences will provide the evaluating committee with a better understanding of the breadth and depth of your experiences. Include the name of the employer(s), dates of experience, and the name and phone number of verifiable sources for EACH question.

1. Describe your direct experience assessing the effectiveness and efficiencies of a permit program for street or utility construction, street use or similar program, and recommending action. Include the details (i.e. steps or procedures) of the program(s) assessed and its outcome. Please indicate the dates of employment and name(s) of the employer(s) where you gained this experience.


2. Describe a specific example of your experience presenting publicly to a community group, Board or similar body. Provide its background, number of people in the audience, and the result of the meeting. Please indicate the dates of employment and name(s) of the employer(s) where you gained this experience.


3. Describe your direct experience in supervising and managing staff responsible for customer or client services related to permit review, or other similar services. Provide the number of staff supervised with their titles, dates of employment and name(s) of the employer(s) where you gained this experience.


CERTIFICATION: I understand and agree to provide verification of experience, mentioned above, when requested. I also understand and agree that any information provided is subject to verification. I hereby certify that I am the author of this application and that all information presented is true and based on my background, skills and experience and is consistent with the information in my application. I understand that any false, incomplete or incorrect statement may result in my disqualification or dismissal from employment with the General Services Agency, Public Works and City and County of San Francisco.