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#PBT-8601-093801
Supplemental Questionnaire

Last Name
First Name

 

PBT-8601-093801
8601 Emergency Services Coordinator I
Supplemental Questionnaire

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY.

All applicants are required to complete the Minimum Qualification Supplemental Questionnaire as part of the online application process. The purpose of this questionnaire is to obtain specific information regarding your education and experience in relation to the position for which you are applying. The questionnaire will be used as a tool to screen applications for minimum qualification requirements. It is therefore recommended that you read each question thoroughly, allow ample time to submit your responses, and ensure that your responses are accurate.

Responses cannot be changed or edited after submission. Failure to provide complete responses to this questionnaire may result in the rejection of your application. All experience and education referenced in this questionnaire must also appear in the work history and/or education sections of your application. The information provided must be consistent with the information on your application and is subject to verification. 

NOTE: Falsifying one's education, training, or work experience or attempted deception on the application or Minimum Qualification Supplemental Questionnaire may result in disqualification for this and future job opportunities with the City and County of San Francisco.


1.

Based on your education, indicate the selection that best matches your HIGHEST educational attainment. (DO NOT COUNT UNITS THAT ARE IN PROGRESS.)

*Please read each option carefully before selecting a response.

High school diploma or equivalent (GED or High School Proficiency Examination)
I attended some college but completed less than 30 semester/45 quarter units.
I have completed 30-59 semester/45-89 quarter units from an accredited college or university.
I have completed 60-89 semester/90-134 quarter units from an accredited college or university.
I have completed 90 or more semester units/135 or more quarter units from an accredited college or university.
I possess a baccalaureate degree from an accredited college or university.
I possess a baccalaureate degree from an accredited college or university in Business, Public Administration, Emergency Management or a closely related field.
None of the above
2.

How much experience do you have providing technical support in an emergency management or homeland security agency?

(NOTE: One year is equivalent to working 2000 hours.)

I do not have any of the experience as described above
I have some of this experience, but less than 6 months
I have 6 months to 11 months of this experience
I have 1 year to 1 year 5 months of this experience
I have 1 year 6 months to 1 year 11 months of this experience
I have 2 years to 2 years 5 months of this experience
I have 2 years 6 months to 2 years 11 months of this experience
I have 3 years to 3 years 5 months of this experience
I have 3 years 6 months to 3 years 11 months of this experience
I have 4 years to 4 years 5 months of this experience
I have 4 years 6 months to 4 years 11 months of this experience
I have 5 years or more of this experience
3.

Have you completed the United States Department of Homeland Security, FEMA, Emergency Management Institute Courses IS 100.b or ICS 100?

Yes No
4.

Have you completed the United States Department of Homeland Security, FEMA, Emergency Management Institute Courses IS 200.b or ICS 200?

Yes No
5.

Do you have a valid driver’s license?

Yes No
 

By checking this box, I hereby certify that I am the author of this Supplemental Questionnaire Evaluation and that all information is true based on my background, skills and experiences. I understand that any false, incomplete or incorrect statement, regardless of when it was discovered, may result in my disqualification or dismissal from my employment with the City and County of San Francisco. I understand and agree that any information provided is subject to verification.