Official SealHuman Resource Services Department


#19-5870-01
Supplemental Questionnaire

Last Name
First Name
 

Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process. Additionally, your responses will also be evaluated and used in the selection process in order to identify the best qualified applicants.

Responses should be thorough and specific.  A lack of detail and explanation in the supplemental questions and in your application may result in failure or disqualification for this position.  Clarity of expression, content, experience, grammar, spelling and the ability to follow instructions will be considered in the evaluation process.  A resume will not be accepted as a substitute for properly completed responses.

Information provided in your responses to the supplemental questionnaire regarding your employment experiences must also be detailed in the Work Experience section of the application for this recruitment.  Please be sure to list all employers and required information, on your application, especially if you are referencing those employers in your responses to the supplemental questions.

By selecting yes below, you certify your understanding that all applicants must submit a complete application and complete responses to the supplemental questions in order to be considered for this recruitment. Do you understand the above statement?

Yes No
1.

Please list any state license(s), certificate(s), and/or registration(s) such as professional organization affiliation, relevant to this position. In your response, please indicate the issuing authority, license number, and issuance and expiration dates for each.

2.

Please describe the qualities you feel are essential for a person to possess in order to be an effective leader. Describe a specific time when you demonstrated some, or all, of these critical attributes in a leadership role. In your response, describe the situation, your specific role, the leadership capacity and how these qualities impacted the effectiveness of your leadership.

3.

Supervising Therapists must be able develop relationships and build rapport with both internal and external stakeholders. Describe a specific situation which highlights your ability to develop and maintain a mutually-beneficial partnership. In your response, please describe the partnership, the techniques you used to forge the partnership and establish rapport, and how you maintained the partnership.

4.

Supervising Therapists must understand, work with, and be of service to, a diverse array of clients and their families, who sometimes have conflicting views related to a client's care. Please describe a time you had to adjust your approach or recommendation in order to meet an individual client's needs. What techniques did you use to achieve optimal outcomes? What was the result?

 

The supplemental questions were designed to elicit your experience as it relates to the current recruitment in order to identify the best qualified candidates for this position. Only the best and most suitably qualified candidates will be invited to participate in the oral interviews.

By selecting yes below, you certify your understanding that all applicants who meet minimum qualifications are not guaranteed to move forward in the process. Do you understand the above statement?

Yes No

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