	Human Capital Management

	#191003-T22F-01
	Supplemental Questionnaire


Last Name	First Name

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.

What experience do you have performing sampling and testing of materials for use in construction and maintenance operation?

I have performed this task independently as a regular part of my job.

I have performed this task occasionally with some supervision.

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 is your work experience with construction surveying using survey equipment?

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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 is your work experience with collecting statistics and documentation about a roadway system?

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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 is your work experience with conducting traffic studies to aid in the determination of transportation system improvements?

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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 is your work experience inspecting, reviewing or providing oversight for contractors, consultants or utility relocations associated with construction projects?

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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.

I have performed planning and reviewing functions for the following transportation systems: (Check all that apply.)

rail.

public transportation.

waterways.

highways.

other roadways.

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.

I have performed the following functions required for the bid letting of construction projects: (Check all that apply.)

developing bid proposals from design plans.

incorporating revisions to proposals.

disseminating information to contractors throughout the letting progress.

disseminating information to industry throughout the letting progress.

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 determining existing service levels and future needs for transportation modes?

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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 is your work experience training employees in any area of transportation work?

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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.

10.

I have performed real estate duties in the following areas: (Check all that apply.)

property appraisal.

acquisition of real property.

relocation assistance.

I do not have work experience with any of these, but I am familiar with appraisal or acquisition of property.

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.