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Placer County Human Resources Department
#2021-15542-01


Supplemental Questionnaire

Last Name First Name
 

 

Eligibility Specialist - I

Supplemental Questionnaire

2021-15542-01

This is the supplemental questionnaire for the classification of Eligibility Specialist - I. Part I will not be scored but is provided for the applicant to review prior to completing the questionnaire. Part II will be scored based on your checked responses.

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. If selected for an interview, you may be required to display and respond to questions to validate your responses to this exam.

NOTE: Resumes, letters, and other materials will not be evaluated nor considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.


 

I have read and understood the above information.


 

PART I - MINIMUM QUALIFICATIONS (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 two years of journey level clerical experience that includes substantial public contact, interviewing, obtaining financial and personal history information, decision making based on complex rules and regulations, and/or written and financial record keeping?

Yes No
 

If you answered yes, please describe your experience below.

2.

Do you possess the equivalent to the completion of the twelfth grade?

Yes No

 

PART II - TRAINING AND EXPERIENCE EXAMINATION (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.

Describe your experience interviewing and assisting applicants in the completion of appropriate applications, financial disclosures, and declaration forms necessary to process an application.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

2.

Describe your experience determining and requesting necessary verification and data to accurately evaluate the applicant's eligibility for designated program(s).

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

3.

Describe your experience interpreting and explaining designated program(s) regulations, obligations, procedures and other pertinent information, in person or by telephone, to applicants, participants and the general public.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

4.

Describe your experience maintaining appropriate and accurate case records, documentation and files, including performing data entry into automated record systems.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

5.

Describe your experience performing calculations to verify mathematical and financial data to make appropriate determinations according to established criteria and assigned program’s regulations.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

6.

Describe your experience troubleshooting and resolving system issues and inconsistencies in information as it relates to various automated systems.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.


 

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 confirmation that the application has been submitted.

A notice of your status will be sent to you after the posted final filing date.