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#TEX-2920-903395
Supplemental Questionnaire

Last Name
First Name

 

2920 Medical Social Worker TEX-2920-093395

The purpose of this Supplemental Questionnaire is to assist in determining if you meet the specified minimum qualifications of class 2920 Medical Social Worker. All applicants are required to complete the supplemental questionnaire as part of the online process. The information you provide must 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.

What is the highest degree in social work you possess from a school of social work fully accredited by the Council on Social Work Education (CSWE)? (DO NOT COUNT UNITS THAT ARE IN PROGRESS)

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

Completion of an Associate's Degree in Social Work from a college or university fully accredited by the CSWE
Completion of a Bachelor's Degree in Social Work (BSW) from a college or university fully accredited by the CSWE
Completion of a Master's Degree in Social Work (MSW) from a college or university fully accredited by the CSWE
I have a degree but not in Social Work
Other
2.

Please indicate the amount of verifiable social work experience in a health care setting you possess. (ONLY include verifiable social work experience gained from supervised field placement during your MSW program OR from post-MSW social work experience)

  • Note: One year of experience is equivalent to 2,000 hours of 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 "Work History" section of your application, you will not receive credit for this experience. If you are copying an old application, please take time to update your work history section before submitting your application.

I do not have any verifiable social work experience in a health care setting
I have less than six months (1,000 hours) of verifiable social work experience in a health care setting
I have at least six months (1,000 hours) but less than one year (2,000 hours) of verifiable social work experience in a health care setting
I have at least one year (2,000 hours) but less than two years (4,000 hours) of verifiable social work experience in a health care setting
I have at least two years (4,000 hours) but less than three years (6,000 hours) of verifiable social work experience in a health care setting
I have three years (6,000 hours) or more of verifiable social work experience in a health care setting
3.

Some positions may be Temporary Exempt "As-Needed" Positions. 

Are you interested in being considered for Temporary Exempt "As-Needed" Medical Social Worker positions? 

("As-Needed" Positions are scheduled on an as-needed basis and limited to working 1,040 hours)

Yes No
 

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.