offical seal
Human Capital Management
#191108-F56A-03


Supplemental Questionnaire

Last Name First Name
 
 

Do you have any of the following?

two years of experience of skilled-level experience in electronics repair work
an equivalent combination of education and experience, substituting one year of education/training in the electronics field for each year of the required experience
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.


 

What experience do you have maintaining, repairing and servicing electronic and mechanical equipment?

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. 

 

I have repaired: (Check all that apply.)

film or slide projectors.
digital video tape recorders.
cameras (portable and studio type).
battery chargers.
sound/visual mixers.
vision screeners.
electronic testing equipment.
various tape recorders.
mikes, amplifiers, speakers and related items.
I have no experience repairing any of the above equipment.
 

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 work experience maintaining and repairing security systems such as:

(Check all that apply.) 

Closed circuit television.
Access control system.
Intrusion detection system.
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 maintaining an adequate stock of spare parts, tools, supplies and manuals?

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 keeping records and inventory on the receipt and issuance of supplies?

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 experience do you have maintaining a computer operating system that controls a security 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 experience do you have reading schematic symbols and diagrams?

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.