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Placer County Human Resources Department
#2021-13406-02


Supplemental Questionnaire

Last Name First Name
 

 

Eligibility Supervisor

Supplemental Questionnaire

2021-13406-02

This is the supplemental questionnaire for the classification of Eligibility Supervisor. 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 the applicant with determining how he/she meets the minimum qualifications for this position.


1.

Do you possess at least three years of eligibility determination performing duties similar to an Eligibility Specialist II with Placer County?

OR

One year of experience performing duties similar to an Eligibility Specialist – Senior with Placer County?

Yes No
2.

Do you possess the equivalent of the completion of 30 semester units in social services, sociology, social work, psychology, behavioral science, business or public administration, or a related field from an accredited college or university?

Yes No
3.

Are you willing to accept work in the Tahoe area? (This recruitment will only be used to fill vacancies in the Tahoe Area. Employees who meet residency requirements will receive their salary plus up to an additional $875 per month Tahoe Branch Assignment Premium.)

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 planning, prioritizing, assigning, supervising, and reviewing the work of staff involved in the determination or continuation of designated and specialized social service aid programs and their respective benefits.

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 assisting eligibility staff with the more difficult eligibility determinations.

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 meeting with subordinate staff members to discuss and interpret departmental rules, regulations, and policies.

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 performing the most difficult and complex work in determining and resolving eligibility determinations and troubleshooting system issues.

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 applying principles of customer service to create positive working relationships.

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 collaboratively working and sharing resources with other divisions, community groups, the general public, and clients.

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.

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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.