The purpose of this supplemental questionnaire is to assist in determining if you meet the specified Minimum Qualifications of class 6120 Environmental Health Inspector – Hazardous Materials and Waste Program specialty. All applicants are required to complete this supplemental questionnaire as part of the online application process. The information you provide should be consistent with the information listed on your online application. The supplemental questionnaire does not substitute for the online application. All statements are subject to verification.
1
EDUCATION:
As a reminder, all education must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the education you are about to describe in the Education section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your Education before submitting your application.
Please indicate the degree you possess from an accredited college or university that is relevant to the Environmental Health Inspector class requirement
Associate Degree
Bachelor of Arts Degree
Bachelor of Science Degree
Masters of Arts Degree
Masters of Science Degree
Doctor of Philosophy Degree
Juris Doctorate
I do not possess a degree
Please indicate what the subject area your degree in Question #1 was conferred for:
Engineering
Environmental Health
Mathematics
Physical Science
Natural Science
Biological Science
None of the above
2
EXPERIENCE:
As a reminder, all qualifying experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the work experience you are about to describe in the "Employment Record" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your Employment Record before submitting your application.
Please tell us how much work experience you have in hazardous materials, hazardous waste, site mitigation and/or medical waste.
I have no experience as described above
I have less than one year (less than 2,000 hours) of experience
I have at least one year (minimum 2,000 hours), but less than two years (4,000 hours)
I have at least two years (minimum 4,000 hours) but less than three years (6,000 hours)
I have at least three years (minimum 6,000 hours) but less than four years (8,000 hours)
I have at least four years (minimum 8,000 hours) but less than five years (10,000 hours)
I have more than 5 years of experience
Please tell us how much experience you have as an inspector in a Certified Unified Program Agency (CUPA)
I do not have this type of experience as described above
I have less than one year (less than 2,000 hours)
I have at least one year (minimum 2,000 hours, but less than two years (4,000 hours)
I have more than two years of experience as an inspector in a CUPA setting
What was your occupational role working with hazardous materials/waste, site mitigation and/or medical waste?
Technician
Inspector
Professional Consultant
None of the above job roles apply to me
Where did you gain your experience working with hazardous materials/waste, site mitigation and/or medical waste?
In an environmental health agency
In a related regulatory/service agency
None of the above settings apply to me
3
LICENSE:
Do you possess a valid California’s Driver License, Class C type?
Yes
No
Do you possess a valid Driver’s License from another state, and would be able to obtain a California license, if selected in an appointment?
Yes
No
Not applicable to me as I have a California Driver's License
CERTIFICATION: By checking this box, I hereby certify that I am the author of the information supplied in this supplemental questionnaire. I understand that any false or incorrect statements may result in my disqualification or dismissal from employment with the San Francisco Department of Public Health and City and County of San Francisco. I also understand and agree that the information provided is subject to verification.
Department of Human Resources