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#PEX-5216-903044
Supplemental Questionnaire

Last Name
First Name

 

Supplemental Questionnaire

Instructions:  The purpose of this Supplemental Questionnaire is to assess your level of training and experience as they relate to the knowledge, skills and abilities linked to this position. Your responses to this Supplemental Questionnaire will be used to determine the possession of minimum qualifications. All responses to the supplemental questionnaire are subject to verification.


 

Select the statement that best matches the amount of professional experience you possess supervising survey parties.

I do not have this experience
Less than one (1) year of experience
At least one (1) year but less than two (2) years
At least two( 2) years but less than three (3) years
At least three (3) years but less than four (4) years
At least four (4) years but less than five (5) years
At least five (5) years but less than six (6) years
At least six (6) years but less than seven (7) years
At least seven (7) years but less than eight(8) years
More than 8 years
 

Do you have a valid California Professional Land Surveyor License?

Yes No
 

Do you possess a valid California Civil Engineer license?

Yes No
 

Do you possess a current valid driver’s license?

Yes No
 

CERTIFICATION: I hereby certify that I am the author of this questionnaire and that all information is true and based on my education, training, skills, and experience. I understand that any false or incorrect statement may result in my disqualification of the selection process for this 5216 Chief Surveyor and/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.