	Human Capital Management

	#191011-C10A-04
	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 reading, interpreting, and applying governmental regulations or statutes regarding civil rights actions or equal employment?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

What experience do you have gathering and analyzing information as it applies to equal opportunities and human resources?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

What experience do you have explaining policies, rules, or laws to others?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

What experience do you have researching and reviewing professional material to stay current on programs and resources for protected groups?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

What experience do you have giving verbal presentations?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

What experience do you have establishing and maintaining partnerships with agencies, public facilities (e.g., hospitals and treatment centers), organizations, or clients from a variety of cultures?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

What experience do you have following confidentiality requirements?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

Which of the following recruiting activities have you performed? Check all that apply.

I have prepared recruiting announcements or other information concerning job vacancies.

I have evaluated application forms.

I have interviewed applicants.

I have provided job counseling to prospective employees.

I have administered minority recruitment and outreach programs.

I have visited schools, colleges, and other sources for recruitment.

I have not performed these tasks, but have had classes or training on recruitment methods.

I have no experience with these tasks.

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.

Please check your highest level of experience with grievance programs and counseling employees on grievance procedures.

I have managed a grievance program for employees.

I have advised employees on filing a grievance.

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 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.

10.

Please check your highest level of experience with conducting investigations and preparing investigative reports.

I have independently conducted personnel related investigations such as discrimination complaints.

I have assisted in conducting personnel related investigations such as discrimination complaints.

I have conducted criminal investigations as part of my job.

I have assisted in conducting criminal investigations as part of my job.

I never conducted investigations, but have had classes or training on discrimination.

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.

11.

What experience do you have advising human resources staff, employees, supervisors, managers, or executives on various human resources related issues?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

12.

What experience do you have maintaining a system of personnel records?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

13.

Please check all of the following with which you have experience or training.

Investigative interview techniques

Pre-employment assessments

Employee performance evaluations

Employee development and training

Discrimination investigation

Formal mediation

Employee discipline

Terminations

Dispute Resolution

Policies and procedures

I do not have experience or training in any of these areas

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.

14.

What experience do you have representing an organization to state agencies, the Legislature, employee groups, or other organizations in matters pertaining to Civil Rights?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.

15.

Please check all of the certifications you hold.

Discrimination investigator certification from the State of Oklahoma

Discrimination investigator certification from a state other than Oklahoma

Certified mediator

Certified grievance manager

I was certified in one of the above at one time, but I do not currently have any certifications.

I have never had any certifications on this list.

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.

16.

What experience do you have managing multiple tasks with deadlines?

I have supervised others performing this task and I have also performed this task independently.

I have supervised others performing this task but I have not performed it myself.

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 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.