The purpose of this Supplemental Questionnaire is to determine whether applicants possess the minimum qualifications that have been identified as critical for satisfactory performance in this position AND determine whether applicants have the knowledge, skills and abilities in job-related areas for this position. The information provided should be consistent with the information on your application and is subject to verification. Failure to do so may result in rejection of application.
1.
Based on your education, indicate the selection that best matches your highest educational attainment:
High School Diploma / G.E.D.
Attended some college, but do not possess a degree
Completion of an Associate Degree from an accredited college/university
Completion of a Baccalaureate Degree from an accredited college/university
Completion of a Master's Degree from an accredited college/university
Completion of Juris Doctorate Degree
None of the above
2.
Provide the name and location of the institution(s) where you gained your education. If not applicable to you, indicate N/A in the text area below.
3.
If you chose “Attended some college, but do not possess a degree” in Question #1 above, please indicate the total number of units you have completed and indicate whether they are semester or quarter units. If not applicable to you, indicate N/A in the text area below.
4.
If you DO NOT possess at least an Associate Degree OR 60 semester/90 quarter units, how much verifiable experience do you have leading recreational activities?
NOTE: Experience is calculated in hours worked
I do possess at least an Associate Degree OR 60 semester units/90 quarter units.
I do not have any experience leading recreational activities
I have less than 2,000 hours worked leading recreational activities
I have a minimum of 2,000 hours worked to a maximum of 2,999 hours worked leading recreational activities
I have a minimum of 3,000 hours worked to a maximum of 3,999 hours worked leading recreational activities
I have a minimum of 4,000 hours worked to a maximum of 4,999 hours worked leading recreational activities
I have a minimum of 5,000 hours worked to a maximum of 5,999 hours worked leading recreational activities
I have 6,000 or more hours worked leading recreational activities
5.
Please describe your experience as it relates to your answer in Question #4. In your response, provide the name of the employer(s), dates of employment, and hours worked per week (FOR EACH POSITION) where you gained the experience. If not applicable to you, indicate N/A in the text area below.
6.
How much verifiable experience do you have planning and implementing recreation programs for Expanded Learning Time (i.e., tiny tots, preschool, camps, before and after school, etc.)?
NOTE: Experience is calculated in hours worked
I do not have any experience as described above
I have less than 2,000 hours worked
I have a minimum of 2,000 hours worked to a maximum of 2,999 hours worked
I have a minimum of 3,000 hours worked to a maximum of 3,999 hours worked
I have a minimum of 4,000 hours worked to a maximum of 4,999 hours worked
I have a minimum of 5,000 hours worked to a maximum of 5,999 hours worked
I have 6,000 or more hours worked
7.
Describe your verifiable experience planning and implementing recreation programs for expanded learning time (i.e, tiny tots, preschool, camps, before and after school, etc.). In your response, provide the age groups of the participants, the name of the employer(s), dates of employment, and hours worked per week (FOR EACH POSITION) where you gained the experience in Question #6. If not applicable to you, indicate N/A in the text area below.
8.
How much verifiable experience do you have planning and implementing summer camp recreation programs?
NOTE: Experience is calculated in hours worked
I do not have any experience planning and implementing summer camp recreation programs
I have less than 1,040 hours worked
I have a minimum of 1040 hours worked to a maximum of 1,999 hours worked
I have a minimum of 2,000 hours worked to a maximum of 2,999 hours worked
I have a minimum of 3,000 hours worked to a maximum of 3,999 hours worked
I have a minimum of 4,000 hours worked to a maximum of 4,999 hours worked
I have a minimum of 5,000 hours worked to a maximum of 5,999 hours worked
I have 6,000 or more hours worked
9.
Please describe your experience as it relates to your answer in Question #8. In your response, provide the name of the employer(s), dates of employment, and hours worked per week (FOR EACH POSITION) where you gained the experience. If not applicable to you, indicate N/A in the text area below.
10.
How much verifiable experience do you have in planning and implementing early childhood recreation programs for children ages 0-5 years old?
NOTE: Experience is calculated in hours worked
I do not have any experience planning and implementing early childhood recreation programs for children ages 0-5 years old
I have less than 1,040 hours worked
I have a minimum of 1040 hours worked to a maximum of 1,999 hours worked
I have a minimum of 2,000 hours worked to a maximum of 2,999 hours worked
I have a minimum of 3,000 hours worked to a maximum of 3,999 hours worked
I have a minimum of 4,000 hours worked to a maximum of 4,999 hours worked
I have a minimum of 5,000 hours worked to a maximum of 5,999 hours worked
I have 6,000 or more hours worked
11.
Please describe your experience as it relates to your answer in Question #10. In your response, provide the name of the employer(s), dates of employment, and hours worked per week (FOR EACH POSITION) where you gained the experience. If not applicable to you, indicate N/A in the text area below.
12.
Do you possess education units of Early Childhood Education/Youth Development?
Yes
No
13.
Provide the name and location of the institution(s) where you gained the education units as described in Question #12 above. Include in your response the Early Childhood/Child Development classes you completed. If not applicable to you, indicate N/A in the text area below.
By completing this form, I certify that my responses are true and complete to the best of my knowledge. I understand and agree that any information provided is subject to verification. I also understand that falsification of this record may result in my disqualification or dismissal from employment with the City and County of San Francisco.
Department of Human Resources