offical seal
Human Capital Management
#200731-I23A-05


Supplemental Questionnaire

Last Name First Name
 
 
Do you have a bachelor's degree?
Yes No
 
Do you possess a current Oklahoma Teaching Certificate?
Yes No

 
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 is your experience conducting classes under certification in elementary or secondary school subjects (science, biology, English, social studies, math, fine arts, commercial arts, practical arts or physical education)?

I have had classes or training on this task but have not yet performed it on the job.
I have performed this task as a student teacher. My work on this task was monitored fairly closely by a supervisor or senior employee to ensure compliance with proper procedures.
I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.
I am considered well-qualified to perform this task. I have supervised performance of this task or I am normally the person who is consulted by other workers to assist them in doing this task because of my experience.
I have no experience performing 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. 
2.

What is your experience creating a lesson plan for a specific field or grade level?

I have had classes or training on this task but have not yet performed it on the job.
I have performed this task as a student teacher. My work on this task was monitored fairly closely by a supervisor or senior employee to ensure compliance with proper procedures.
I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.
I am considered well-qualified to perform this task. I have supervised performance of this task or I am normally the person who is consulted by other workers to assist them in doing this task because of my experience.
I have no experience performing 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. 
3.

What is your experience preparing and administering examinations

I have had classes or training on this task but have not yet performed it on the job.
I have performed this task as a student teacher. My work on this task was monitored fairly closely by a supervisor or senior employee to ensure compliance with proper procedures.
I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.
I am considered well-qualified to perform this task. I have supervised performance of this task or I am normally the person who is consulted by other workers to assist them in doing this task because of my experience.
I have no experience performing 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. 
4.

What is your experience preparing student progress reports and daily attendance reports?

I have had classes or training on this task but have not yet performed it on the job.
I have performed this task as a student teacher. My work on this task was monitored fairly closely by a supervisor or senior employee to ensure compliance with proper procedures.
I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.
I am considered well-qualified to perform this task. I have supervised performance of this task or I am normally the person who is consulted by other workers to assist them in doing this task because of my experience.
I have no experience performing 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. 
5.

What is your experience participating in planning, scheduling, and development of an education program?

I have had classes or training on this task but have not yet performed it on the job.
I have performed this task as a student teacher. My work on this task was monitored fairly closely by a supervisor or senior employee to ensure compliance with proper procedures.
I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.
I am considered well-qualified to perform this task. I have supervised performance of this task or I am normally the person who is consulted by other workers to assist them in doing this task because of my experience.
I have no experience performing 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. 

6.

What is your experience maintaining inventory of books, supplies and equipment?

I have had classes or training on this task but have not yet performed it on the job.
I have performed this task on the job in a learning capacity. My work on this task was monitored fairly closely by a supervisor or senior employee to ensure compliance with proper procedures.
I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.
I am considered well-qualified to perform this task. I have supervised performance of this task or I am normally the person who is consulted by other workers to assist them in doing this task because of my experience.
I have no experience performing 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. 
7.

What is your experience attending teacher meetings or staff developmental training?

I have regularly attended teacher meetings or staff developmental training.
I have attended teacher meetings or staff developmental training occasionally (less than three times a year).
I have attended teacher meetings or staff developmental training as a student teacher.
I have never attended teacher meetings or staff developmental training.
 
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. 
8.

What is your experience providing input on students’ progress?

I have had classes or training on this task but have not yet performed it on the job.
I have performed this task as a student teacher. My work on this task was monitored fairly closely by a supervisor or senior employee to ensure compliance with proper procedures.
I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.
I am considered well-qualified to perform this task. I have supervised performance of this task or I am normally the person who is consulted by other workers to assist them in doing this task because of my experience.
I have no experience performing 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. 
9.

What is your experience maintaining classroom discipline?

I have maintained classroom discipline and order consistently without the aid of a supervisor.
I have maintained classroom discipline and order the majority of the time but occasionally have difficulties and require assistance.
I have struggled maintaining classroom discipline and order.
I have no experience maintaining classroom discipline and order.
 

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.

Do you have work experience giving individualized instruction, encouragement, counseling or guidance to students?

I have had classes or training on this task but have not yet performed it on the job.
I have performed this task as a student teacher. My work on this task was monitored fairly closely by a supervisor or senior employee to ensure compliance with proper procedures.
I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.
I am considered well-qualified to perform this task. I have supervised performance of this task or I am normally the person who is consulted by other workers to assist them in doing this task because of my experience.
I have no experience performing 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 is your work experience with conflict resolution in an educational environment?

I have had classes or training on conflict resolution but have not yet performed it on the job.
I have work experience with conflict resolution that was monitored closely by a supervisor.
I have developed resolutions of conflict independently as a regular part of a job.
I am considered well-qualified to perform this task. I have supervised and guided others in developing resolutions of conflict.
I have no experience with conflict resolution.
 
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 is your work experience planning and preparing a graduation ceremony?

I have been in charge of planning and preparing a graduation ceremony.
I have aided in the planning and preparing of a graduation ceremony.
I have no experience with the planning and preparation of a graduation ceremony
 
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.

Please check all experience you have teaching in a classroom environment.

I have classroom experience as a substitute teacher.
I have classroom experience as a student teacher.
I have classroom experience outside of the education field. (Examples: Boy Scouts, Girls Scouts, religious classes, Future Farmers of America)
I have classroom experience as an adult educator.
I have classroom experience as a full-time school teacher.
I have no experience with teaching in a classroom environment.
 

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. 

14.

What is your experience working with offenders or people who are incarcerated?

I have performed this task independently.
I have performed this task under supervision.
I am familiar with this task or have received some training or education 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.