Official SealHillsborough County Government


#1910-TRATCHBBN2-002
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.



 

Did you graduate High School or have a GED?

Yes
No
 

Do you have a completion certificate/diploma for a technical, trade or vocational program in electronics; AND at least three years of experience in the installation, maintenance and repair of electronics equipment; AND Possession of IMSA Traffic Signal Technician Level II Certification (Field or Bench)?

Yes
No
 

If the answer to the question above is yes, when you completed your Technical, Trade or Vocational school, what was your diploma/certification in? Please indicate below.

 

Do you have at least one year of vocational schooling AND two years of experience in the installation, maintenance and repair of electronics equipment; AND Possession of IMSA Traffic Signal Technician Level I Certification (Field or Bench)? If you marked YES to the above question mark N/A for this question.

Yes
No
N/A
 

Select the option that indicates the years of experience you have in the installation, maintenance and repair of traffic signal electronic equipment.

7 years or more
5-6 years
3-4 years
1-2 years
Less than 1 year
No experience
 

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). If no experience, indicate N/A in the box.

 

This is an electronics-traffic signal technician position that repairs traffic signals and street lighting in Hillsborough County and will require overtime, occasional holiday and weekend work as well as on call duties. It may require working the evening shift (3:30 to midnight) Monday thru Friday.  Indicate your willingness to work the identified different occasions.

Yes
No
 

This position is not a bench technician position and requires working in the field during all types of weather conditions, working in an aerial lifting device, performing manual labor such as digging trenches for conduit, setting pull boxes, installing traffic signal cabinets and other associated traffic signal equipment, pulling cables and wires, and working in traffic signalized intersections.   Are you willing to do this?

Yes No
 

Indicate your recognition of this statement above along with the requirements listed and your willingness to perform these duties. Please provide a narrative explaining the extent of your experience with these types of activities.

 

Provide recent examples of electrical work with field wiring, site layout and/or plan reading, including the extent of your experience and time frame of that experience. Provide examples of the different types of electrical work and equipment that you have used.

 

Do you possess a valid Florida Driver’s License?

Yes
No
 

Provide number:

 

Do you possess a Commercial B Driver’s License?

Yes
No
 

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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.