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Human Capital Management
#180614-Z52B-02


Supplemental Questionnaire

Last Name First Name
 

 

Please make sure that you attach all requested documents to your application, if requested.  Resumes should be attached to the "Resume" tab and any other requested documents to the "Other" tab.



 

ATTENTION!

Please verify that you meet the education and experience requirements listed in the job bulletin before completing the following supplemental questionnaire.  The questions below will be used for scoring purposes in lieu of a written exam.


1.

What experience do you have visiting or corresponding with others concerning their welfare or the welfare of their friends and relatives?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

2.

What is your experience providing religious guidance and counseling to others with various faiths, religions, doctrines and practices?

I have performed this task independently as a part of my job.
I have performed this task as part of my job with assistance.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

3.

What is your experience working with patients, inmates, students, and residents?

I have performed this task independently as a part of my job.
I have performed this task as part of my job with assistance.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

4.

What experience do you have establishing and maintaining relationships with agencies, public facilities, organizations, or people from a variety of cultures?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

5.

What experience do you have preparing and giving verbal and written presentations?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

6.

Please check all of your work experience developing or conducting religious services.

I have helped develop/conduct religious services.
I have been trained on developing/conducting religious services.
I have developed religious services.
I have conducted religious services.
I have no experience with developing/conducting religious services.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

7.

What experience do you have planning, developing and organizing all phases of your own work?

I have performed this task independently.
I have performed this task under supervision.
I am familiar with this task or have received some training or education on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

8.

What experience do you have teaching others new material?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

9.

What experience do you have analyzing complex situations and adopting appropriate courses of action?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

10.

What experience do you have reviewing, analyzing, and conducting special requests for religious programs and activities?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

11.

What experience do you have providing crisis or bereavement counseling or notifications?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

12.

What experience do you have recruiting, coordinating, training and evaluating volunteers?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

13.

What experience do you have managing multiple tasks with deadlines?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

14.

What experience do you have providing pastoral care counseling to others?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

15.

What experience do you have evaluating others and making referrals to various professionals?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some training on it.
I have no experience with this task.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.

16.

Please check all of the following computer programs you have experience using.

Microsoft Word or similar word processing software
Microsoft Excel or similar spreadsheet software
Microsoft Outlook or similar email program
Microsoft PowerPoint or similar presentation software
I have no experience with any of the above.
 

Please list the employer and job title, school and location, or organization where you gained your experience as indicated in the response above.  If you indicated “no experience,” then please write “N/A” below.