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#PEX-0943-088215
Supplemental Questionnaire

Last Name
First Name

 

CHIEF INFORMATION OFFICER

SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH

0943 MANAGER VIII

MINIMUM QUALIFICATION SUPPLEMENTAL QUESTIONNAIRE

 PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

The purpose of this Supplemental Questionnaire is to assist with assessing possession of the Minimum Qualifications for the SFDPH Chief Information Officer position.

Attaching a resume does not substitute for submitting a completed application. Your application’s Education, Professional Licenses, Certifications, or Registrations, and Employment Record sections should clearly demonstrate how you satisfy this position’s Minimum Qualifications. Do NOT type “see resume” or leave the above-mentioned application sections blank. 

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 (i.e. Education or Employment Record sections) and are subject to verification. 

As a reminder, all qualifying education and experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the education and experience you are about to describe in the applicable sections of your application, you will not receive credit. If you are copying an old application, please take the time to update applicable sections before submitting your application.


1.

Please select the highest level of education that you have completed

DO NOT INCLUDE UNITS THAT ARE IN PROGRESS.

High School Diploma or equivalent
Associate's degree
Bachelor's degree
Master's degree
Doctoral degree
None of the above
2.

How much managerial information technology experience do you have that includes high-level financial/budgetary responsibility?

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

I have some, but less than one (1) year of this experience
I have at least one (1) year, but less than two (2) years of this experience
I have at least two (2) years, but less than three (3) years of this experience
I have at least three (3) years, but less than four (4) years of this experience
I have at least four (4) years, but less than five (5) years of this experience
I have five (5) years of this experience or more
I don't have any of this experience
3.

How much of your managerial information technology experience, referenced in #2 above, includes supervising employees?

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

I have some, but less than one (1) year of this experience
I have at least one (1) year, but less than two (2) years of this experience
I have at least two (2) years, but less than three (3) years of this experience
I have at least three (3) years, but less than four (4) years of this experience
I have at least four (4) years, but less than five (5) years of this experience
I have five (5) years of this experience or more
I don't have any of this experience
4.

How much of your managerial information technology experience, referenced in #2 above, was in a healthcare setting?

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

I have some, but less than one (1) year of this experience
I have at least one (1) year, but less than two (2) years of this experience
I have at least two (2) years, but less than three (3) years of this experience
I have at least three (3) years, but less than four (4) years of this experience
I have at least four (4) years, but less than five (5) years of this experience
I have five (5) years of this experience or more
I don't have any of this experience
 

CERTIFICATION:  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.