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Placer County Human Resources Department
#2018-14328-01


Supplemental Questionnaire

Last Name First Name
 

 

NUTRITIONIST - II

(REGISTERED DIETITIAN)

Supplemental Questionnaire



 

The following supplemental questionnaire is the examination for this recruitment and will be used to determine your examination score. 

Note: The supplemental questionnaire and the application are administered as two separate documents.  The supplemental questionnaire is the only item used to determine your examination score which will, in turn, determine your ranking and placement on the eligible list. 

By continuing in this examination process, you are certifying that all information provided in the supplemental questionnaire is true to the best of your knowledge.


 

I have read and I understand the above information.


 

SECTION I: MINIMUM QUALIFICATIONS SCREENING (NOT SCORED)

This section will not be scored but may assist with determining how the applicant reports meeting the minimum qualifications for this classification.


1.

Do you possess a valid certificate as a Registered Dietitian?

Yes No
 

If not, do you have proof of eligibility for registration as a Registered Dietitian with the Commission on Dietetic Registration of the American Dietetic Association?

Yes No
2.

Do you possess training that is equivalent to a Bachelor's degree from an accredited college or university with major course work in food and nutrition or a related field, including an academic internship approved by the American Dietetic Association?

Yes No
 

If yes, please describe where you received the training and how you would apply this training to the Nutritionist - II position.


 

SECTION II: TRAINING AND EXPERIENCE EXAMINATION (SCORED)

Based on your responses to this section of the supplemental questionnaire, your job-related experience and/or training will be evaluated using a pre-determined formula.  Scores from this evaluation will determine applicant ranking and placement on the eligible list.  Please note that indicating you have no training and/or experience in a specific area will not automatically disqualify you from participating in this recruitment.


1.

Assessing nutritional status, including analysis of diets for nutritional adequacy, relevance to medical conditions, and identification of high risk individuals.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience performing this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
 

   If you indicated experience, or that you have received training in this area, please describe it here.

2.

Providing nutrition education on an individual or group basis using Learner Centered Education techniques.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience performing this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
 

   If you indicated experience, or that you have received training in this area, please describe it here.

3.

Selecting and preparing appropriate nutrition education materials based on scientific research.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience performing this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
 

   If you indicated experience, or that you have received training in this area, please describe it here.

4.

Making referrals and communicating with public health, community agencies, and medical professionals.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience performing this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
 

If you indicated experience, or that you have received training in this area, please describe it here.

5.

Preparing and presenting in-service training to community partners, public health and other program staff.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience performing this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
 

If you indicated experience, or that you have received training in this area, please describe it here.

6.

Partnering and collaborating with co-workers, other employees and staff from community agencies.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience performing this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.

 

SECTION III: ADDITIONAL TRAINING AND EXPERIENCE (NON-SCORED)

Your response to this section will not be scored, but may be used by the hiring department for the purpose of screening and identifying which applicants to invite to a hiring interview.


1.

Please describe your experience and educational methods used in counseling low literacy groups.  If you do not have experience in this area, please state "None."


 

Thank you for completing the examination portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.

Please Save & Continue to move forward to the next tab.

 Be sure to select the "Submit" button once the application has been completed. You will receive an email confirmation that the application has been submitted. A notice of your status will be sent to you after the posted final filing date.