offical seal
Human Capital Management
#190108-D20A-01


Supplemental Questionnaire

Last Name First Name
 

 

OK Department of Human Services (DHS) requires that the following questions be answered before continuing with the application.


 

Do you have legal status to work in the United States?

Yes No
 

Have you had a protective order entered against you pursuant to the Oklahoma
Protection from Domestic Abuse Act or a similar statute of another state? 

If yes, provide the name of the court and court number in the text area:

If no, please enter No in the text area:            

 

DHS policy does not allow some family members to be employed within the same supervisory group or unit. Please list the names of all of your relatives now employed by DHS:

If no, please enter No in the text area:

 

Have you ever been terminated or resigned from employment in lieu of being terminated?  
If yes, explain circumstances:      

If no, please enter No in the text area:

 
Do you have any of the following?
bachelor's degree in business or public administration, economics, accounting or finance
four (4) years of experience in business or public administration, economics, accounting or finance
a combination of college courswork in business or public administration, economics, accounting or finance AND experience in business or public administration, economics, accounting or finance
none of the above

 
STOP! You have completed the required screening questions for this Job Family.  Please verify 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 in lieu of a written exam.

1.

What experience do you have compiling data related to financial transactions and operations, revenues and expenditures?

I have performed this task independently as a regular part of my job.
I have performed this task occasionally with some supervision.
I have limited experience with this task or have received some training on it.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

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

2.

What is your work experience analyzing financial information? (Check all that apply.)

Personnel and operating expenditures
Capital projects
Supplies and equipment
Professional services
Other expenses
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

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

3.

What is your work experience participating in surveys, studies, meetings or legislative hearings concerning financial requirements of state agencies or other organizations?

I have performed this task independently as a regular part of my job.
I have performed this task occasionally with some supervision.
I have limited experience with this task or have received some training on it.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

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

4.

I have work experience reviewing revenue projections from:  (Check all that apply.)

appropriations.
fees.
taxes.
tolls.
other sources.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

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

5.

What is your work experience matching projected revenue with projected expenditures?

I have performed this task independently as a regular part of my job.
I have performed this task occasionally with some supervision.
I have limited experience with this task or have received some training on it.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

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

6.

What experience do you have identifying the need for changes in various sources of revenue?

I have performed this task independently as a regular part of my job.
I have performed this task occasionally with some supervision.
I have limited experience with this task or have received some training on it.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

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

7.

What experience do you have developing budget work programs?

I have performed this task independently as a regular part of my job.
I have performed this task occasionally with some supervision.
I have limited experience with this task or have received some training on it.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

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

8.

What experience do you have preparing financial reports for meetings or legislative actions?

I have performed this task independently as a regular part of my job.
I have performed this task occasionally with some supervision.
I have limited experience with this task or have received some training on it.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

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

9.

What experience do you have creating Excel spreadsheets?

I have performed this task independently as a regular part of my job.
I have performed this task occasionally with some supervision.
I have limited experience with this task or have received some training on it.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

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