Official SealHillsborough County Government


#1907-ADRCLRCOS1-002
Supplemental Questionnaire

Last Name
First Name

 

Supplemental Questionnaire


INSTRUCTIONS: Completion of this supplemental questionnaire is REQUIRED. Please read each question carefully and provide clear and complete responses that accurately portray your education and relevant work experience. Your qualifications for employment will be evaluated based upon the information you provide in your responses below and then verified by our staff who will review your entire application for completeness and determine qualification status.

The employers and dates of employment that you list on this supplemental questionnaire MUST match the employers and dates of employment provided in the work experience section of your employment application. Failure to provide matching employer, and dates of employment may result in your application being "not qualified" for this recruitment.

IMPORTANT NOTE: "See Resume" is not an acceptable response to any of the open-ended questions on this questionnaire and will result in your application being "not qualified" for this recruitment.



 

Have you graduated from High School or have G.E.D certificate?

Yes No
 

Do you possess a current and valid Driver's License?

Yes No
 

Do you have experience working with persons with disabilities?

Yes No
 

If answered yes to the question above, please explain.

 

This position works non-standard hours which may include evenings and weekends.  Are you able to work this schedule if selected?

Yes No
 

Please select from the timeframe(s) below,  which you are available to work?

All day Saturday
5 pm to 9 pm
1 pm to 6 pm
None of the above
 

Do you have any experience working with elementary or middle school aged children?

Yes No
 

If you answered yes to the question above please explain.

 

 

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By checking the box above, I certify that all of my responses are true and complete, and any misstatement of material facts OR failure to completely answer questions or provide my employer with a copy of any licenses, certifications, or other documents listed on the job announcement will subject me to disqualification from the application process and/or dismissal from employment.

I also authorize investigation of all statements contained in my application, to include a formal background check that may require education and employment verification; criminal history; and motor vehicle driving report as may be necessary in arriving at an employment decision. Further, I acknowledge understanding that an offer of employment will be subject to successfully passing a drug screen and physical.

I also understand that once I submit my application for this recruitment, I cannot edit it later.