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Supplemental Questionnaire

Last Name
First Name






The purpose of the Supplemental Questionnaire is to assist with determining if you possess the Minimum Qualifications for the Children, Youth, and Families System of Care 2575 Research Psychologist - Director of Practice Improvement and Evaluation position.

It is suggested that you allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline. If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with the information on your employment application and are subject to verification.


Please select the highest level of education that you have completed.

High School Diploma or equivalent
Associate's degree
Bachelor's degree
Master's degree
Doctoral degree
None of the above

During your graduate degree program with an accredited college or university, did you successfully complete graduate courses in research methods and advanced statistics?

Yes No

Please list the school(s) where you obtained your degree(s), the discipline/field of study, and type of degree earned (e.g. Bachelor of Arts degree in Psychology from the San Jose State University). If you do not possess any of the degrees identified above, type N/A.


Within the last five (5) years, how much full-time post-doctorate experience do you have designing and/or leading research projects in psychology or other social sciences?

One (1) year of full-time experience is equivalent to 2,000 hours.

I have some, but less than six (6) months of experience within the last five (5) years
I have at least six (6) months, but less than one (1) year of experience within the last five (5) years
I have at least one (1) year, but less than two (2) years of experience within the last five (5) years
I have at least two (2) year, but less than three (3) years of experience within the last five (5) years
I have at least three (3) year, but less than four (4) years of experience within the last five (5) years
I have four (4) years of experience or more, within the last five (5) years
I don't have any experience
I have some experience, but it was more than five (5) years ago

In accordance with your responses to #2 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

Additionally, please list the name of supervisors or managers who can verify the information provided as well as their contact information. If you do not have experience in these areas, please type N/A.


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.