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Human Capital Management
#180809-E20B-03


Supplemental Questionnaire

Last Name First Name
 
 
Do you have any of the following?
two (2) years of experience in clerical or library work
six (6) semester hours of library courses from an accredited college or university
none of the above

 

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.


 

Check the box that represents your highest level of education.

I have a Bachelor's degree or higher.
I have an Associate's degree.
I have completed some college courses but do not have a degree.
I have none of the education listed above.
 

Please list the college or university where you gained your education as indicated in the response above.  If you indicated "no education", then please type N/A below. 

 

How many college course hours in the field of library science have you completed?

0
3-6
7-12
13-19
20 or more
 

Please list the name of the college course(s) you completed and the school and location where you gained your education as indicated in the response above.  If you indicated "no education", then please write N/A below.

 

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 Access or similar database software
Microsoft Outlook or similar email program
I have no experience with any of the above.
 

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

 

What experience do you have drafting written documents?

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 school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

 

 

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 school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

 

What is your highest level of experience in working as part of a team?

I have led a team or group project.
I have been a member of a team or group project.
I have never been a part of a team or group project.
 

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

 

What is your experience providing customer service to the public?

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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
 

What experience do you have reading and interpreting detailed instructions?

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 school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

 

What experience do you have teaching others new material?

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 school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

 

What experience do you have conducting multiple tasks simultaneously and meeting firm deadlines for those tasks?

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 school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

 

What experience do you have recommending policies and procedures for a work unit?

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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
 

What experience do you have performing basic reference and research services for users, including Internet and database searching?

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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
 

What experience do you have assisting clients with on-line retrieval of information?

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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
 

What experience do you have processing interlibrary loan requests?

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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
 

What experience do you have processing archival materials, records, or library materials?

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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
 

What experience do you have shelving and filing materials or records?

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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
 

What experience do you have maintaining various files, records and statistics?

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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below.