Official SealHillsborough County Government


#1910-HELPLTCPR3-001
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.



 

Do you have at minimum of a High School Diploma, GED, or higher education?

Yes No
 

Do you possess a current FAA Flight Medical Certificate (Class II) with no waivers?

Yes No
 

Do you possess an FAA Commercial Pilot License with a rotorcraft-helicopter rating?

Yes No
 

Please indicate the number of fly time hours have operating a turbine engine helicopter:

750 hours or more
500-749 hours
Less than 500 hours
 

Please indicate the number of night flight time hours you possess:

400 hours or more
200-359 hours
less than 200 hours
None of the above
 

Do you have Experience in low level, nap of the earth, or agricultural spraying or dusting flight time as first pilot?

Yes No
 

Please provide a narrative supporting your answer to the above question. Be sure to include the specific job title, job duties, and the organization and dates where the work was performed: (IMPORTANT! The employers and dates of employment that you list here must also be included in the "employment" section of THIS job application).

 

Do you have knowledge of the control of mosquitos or undesirable arthropods?

Yes No
 

Please provide a narrative supporting your answer to the above question. Be sure to include the specific job title, job duties, and the organization and dates where the work was performed: (IMPORTANT! The employers and dates of employment that you list here must also be included in the "employment" section of THIS job application).

 

Do you have experience with the application of herbicides and/or pesticides?

Yes No
 

Please provide a narrative supporting your answer to the above question. Be sure to include the specific job title, job duties, and the organization and dates where the work was performed: (IMPORTANT! The employers and dates of employment that you list here must also be included in the "employment" section of THIS job application).

 

Do you possess a valid Florida Driver’s License?

 

Yes No
 

Do you possess an active State of Florida Public Applicator License in Aquatic Pest Control?

License number?

 

 

Do you possess an active State of Florida Health Pest Control Certification

Certification Number?

 

 

Do you have experience providing customer service?

Yes No
 

Please provide a narrative supporting your answer to the above question. Be sure to include the specific job title, job duties, and the organization and dates where the work was performed: (IMPORTANT! The employers and dates of employment that you list here must also be included in the "employment" section of THIS job application).

 

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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.