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Supplemental Questionnaire

Last Name
First Name
 

SUPPLEMENTAL QUESTIONNAIRE

The purpose of this Supplemental Questionnaire is to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance in this position. All relevant experience, education and/or training must be on the supplemental questionnaire in order to be reviewed.  This information should be consistent with the information on your application (employment record, resume) and is subject to verification. The hiring department may review this information as part of their selection process.

Please be thorough and concise.  All of your information MUST be supplied in the spaces provided. Attachments or additional documents such as resumes, cover letters, or application will NOT be considered. (i.e. Writing “see resume/website/application” or “N/A” is not sufficient response.)

CERTIFICATION:  I hereby certify that I am the author of this supplemental questionnaire and that all information presented is true and based on my education and experience and is consistent with the information in my employment application. I understand that any false, incomplete or incorrect statement may result in my disqualification 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.

Yes No
1.

I possess a certificate of completion from an accredited college or technical/vocational school (Select all that apply).

AutoCAD
Mapping Software
Drafting
Others
1a.

For "Other" selected above, please indicate the type of certificate obtained.

2.

Please explain your work experience in data gathering, data entry and reporting related to fiber cable, copper cable or radio infrastructure or similar systems. Please provide the date(s) of employment and the name(s) of the employer(s) where you gained the experience. 

3.

Please describe your experience in drawing and documenting excavation permit process. Please provide the date(s) of employment and the name(s) of the employer(s) where you gained the experience. 

4.

Please explain your experience in the engineering design and drawing of inbuilding emergency radio communication network. Please provide the date(s) of employment and the name(s) of the employer(s) where you gained the experience.