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Placer County Human Resources Department
#2019-13533-01


Supplemental Questionnaire

Last Name First Name
 

 

ENVIRONMENTAL HEALTH SPECIALIST - REGISTERED - SUPERVISING

Supplemental Questionnaire

2019-13533-01



 

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 the equivalent to a bachelor's degree from an accredited college or university with major course work in any of the biological or physical sciences, environmental health science, chemistry, engineering or a related field?

Yes No
2.

Do you possess a valid certificate of registration as an Environmental Health Specialist issued by the State of California Department of Health Services?

Yes No
3.

Within six months of appointment, this position requires certificates of completion of training for the following courses. Please mark the box(es) to indicate any of these certificates you possess:  

40 hour OSHA Hazardous Waste Operations and First Responder Operations
Environmental Health Training in Emergency Response Awareness
Federal Emergency Management Agency - Incident Command System 100, 200, and 700
4.

When assigned to hazardous materials, the following courses must be completed by the completion of the probationary period. Please mark the box(es) to indicate the courses you have completed:

 

OSHA HazMat First Responder Operations
International Code Council - Underground Storage Tank Inspector
State Fire Marshall - Office for Aboveground Storage Tanks

 

This position requires three years of increasingly responsible registered environmental health administration and enforcement experience, with at least one year of lead experience comparable to an Environmental Health Specialist - Registered - Senior

OR

Four years of experience performing duties similar to an Environmental Health Specialist - Registered - Associate.


5.

Do you possess four years of experience performing duties similar to an Environmental Health Specialist - Registered - Associate?

Yes No
6.

Do you possess three years of increasingly responsible registered environmental health administration and enforcement, with at least one year of lead experience comparable to an Environmental Health Specialist - Registered - Senior?

Yes No
 

If you answered yes to question 5 or 6 above, please describe this experience below.


 

SECTION II: ASSIGNMENT REQUIREMENTS (NOT SCORED)



1.

As a Supervising Registered Environmental Health Specialist, you will be required to participate in Stand-by-Rotation for emergency responses.


 

By marking this box, you are confirming that you are willing and able to work after hours on a Standby-by Rotation for emergency response.


 

SECTION III: SPECIALIZED SKILLS (NOT SCORED)

Please note that indicating "No" to any questions in this section does not exclude you from participation in this recruitment. Note: Applicants indicating "Yes" to possessing bilingual skills may be required to demonstrate their proficiency by participating in a Placer County administered Language Skills Examination as part of the selection process.


1.

Are you English/Spanish Bilingual?

Yes No
2.

Are you English/Russian Bilingual?

Yes No

 

SECTION IV: TRAINING AND EXPERIENCE (SCORED)

This section of the supplemental questionnaire will serve as the examination for this recruitment and will be scored using a pre-determined formula, based on applicants’ checked responses.  Scores from this evaluation will determine applicant ranking and placement on the eligible list.

Instructions: For each item, please select the option that best corresponds with your relevant training and/or experience.


1.

Knowledge of pertinent local, State and Federal laws, ordinances and rules related to Environmental Health enforcement.

I possess no or a very little amount of this knowledge.
I possess this knowledge, but have not applied it in a job/internship setting.
I have applied this knowledge under close supervision.
I have applied this knowledge independently under normal supervision.
I have used this knowledge to train or provide consultation to others.
2.

Knowledge of principles and practices of environmental health, sanitation and public health administration and enforcement.

I possess no or a very little amount of this knowledge.
I possess this knowledge, but have not applied it in a job/internship setting.
I have applied this knowledge under close supervision.
I have applied this knowledge independently under normal supervision.
I have used this knowledge to train or provide consultation to others.
3.

Experience investigating complaints and recommending corrective action as necessary to reach resolution.

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.
4.

Experience drafting environmental investigation, inspection, and assessment reports.

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.
5.

Experience mediating disputes and performing conflict resolution techniques in county or state government environmental health client situations.

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.
6.

Experience responding to environmental or public health emergencies.

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.
7.

Knowledge of and ability to use equipment, tools and materials for collecting samples, conducting tests, and monitoring and measuring activities involved in environmental health administration and enforcement.

I possess no or a very little amount of this knowledge and/or ability.
I possess this knowledge and/or ability, but have not applied it in a job/internship setting.
I have applied this knowledge and/or ability under close supervision.
I have applied this knowledge and/or ability independently under normal supervision.
I have used this knowledge and/or ability to train or provide consultation to others.
8.

Experience interpreting, enforcing and explaining environmental health statutes, regulations, policies and procedures.

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.
9.

Experience conducting complex research in the formation of districts and other entities to resolve environmental health problems.

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.
10.

Experience conducting complex research in the formation of districts and other entities to resolve environmental health problems.

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 V: ADDITIONAL TRAINING AND EXPERIENCE (NOT SCORED)

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


1.

Based on your selections in Section IV, please describe any additional training and experience related to questions 1-10. Please also describe any experience you may have planning, prioritizing, assigning, supervising and evaluating the work and performance of staff.


 

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

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 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.