	Human Capital Management

	#200102-J52A-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 completing written or typed reports on a variety of incidents?

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 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, interpreting, and applying governmental regulations or statutes regarding cosmetology and barbering?

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 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 in inspecting facilities and work in progress to determine licensing compliance?

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 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?

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 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 searching for and gathering physical or documentary evidence?

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 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 interviewing people?

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 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 where you gained your experience as indicated in the response above. If you indicated "no experience", then please type 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 PowerPoint or similar presentation software

Microsoft Outlook or similar email program

Microsoft Access or similar database software

I have no experience with any of the above.

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 researching and reviewing professional material to stay current on new cosmetology products and procedures?

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

10.

What experience do you have giving oral 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 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 reviewing and implementing policies and procedures?

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 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 establishing and maintaining partnerships with agencies, public facilities, 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 where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

13.

What experience do you have maintaining files and 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 where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

Please make sure that you attach all requested documents to your application, if requested. Resumes should be attached to the "Resume" tab and any other requested documents to the "Other" tab.