Position Specific Attributes Form - Conviction History Program, City And County Of San Francisco Department Of Human Resources

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POSITION SPECIFIC ATTRIBUTES FORM
Conviction History Program
CITY AND COUNTY OF SAN FRANCISCO
DEPARTMENT OF HUMAN RESOURCES
Instructions: The Position Specific Attributes are designed to provide an accurate description of the sensitive functions or responsibilities of a
position that relate to a conviction. Choose which Attributes relate to this specific position. For each attribute, check "Yes" or "No". If yes,
describe how this duty is associated with the position, and explain why a conviction could potentially become a nexus to this position. Checking
"Yes" to more items than what relate to the position may disqualify a candidate for a conviction that is unrelated to the job.
Department Contact:
Email
Phone:
SECTION I: DEPARTMENT AND POSITION
Department Code:___________Dept. #: ______________Division:
Section:
Job Code:
Job Title:
Position #:
Appt. Type:
SECTION II: POSITION SPECIFIC ATTRIBUTES
PSA-1
Drive a personal or City vehicle, or operate heavy machinery in the performance of duties
of the position.
Yes
No
PSA-2
Work in a setting with or near vulnerable population.
Yes
No
PSA-3
Have face to face contact with the public.
Yes
No
PSA-4
Have contact with animals.
Yes
No
Rev. 120513
Position Specific Attributes

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