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Placer County Human Resources Department
#2021-14328-01


Supplemental Questionnaire

Last Name First Name
 

 

NUTRITIONIST - II

(Registered Dietitian)

Supplemental Questionnaire

 

This is the supplemental questionnaire for the classification of Nutritionist – II. Section I and II will not be scored. Section III will be scored based on your selected responses. Narrative responses describing training and/or experience will not be scored but will be available to the hiring authority and may be utilized for interview and selection determinations.

NOTE: Resumes, letters and other materials will not be evaluated or considered as responses to the items in this supplemental questionnaire.

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 respond to questions to display and validate your responses to this examination.


 

I have read and understand the above instructions.


 

SECTION I - MINIMUM QUALIFICATION SCREENING (NOT SCORED)

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


1.

Do you possess a valid certificate as a Registered Dietitian? (If yes, you must include this information on the license/certificate section of your application and upload a copy of your registration certificate.)

Yes No
1a.

If you answered no, 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
2a.

If you answered yes, please describe where you received the training and how you would apply this training to the Nutritionist - II position. If you do not have this training, please type "none."

3.

Do you possess at least two years of responsible professional nutritional experience performing duties similar to a Nutritionist I with Placer County.

Yes No
3a.

If you answered yes, please describe this experience below. If you do not have this experience, please type "none."


 

SECTION II: SPECIALIZED SKILLS (NOT SCORED)


1.

Are you English/Spanish bilingual?  (Placer County may administer a Spanish Language Skills Examination as part of the selection process.)

Yes No
2.

Are you English/Russian bilingual?  (Placer County may administer a Russian Language Skills Examination as part of the selection process.)

Yes No

 

SECTION III: TRAINING AND EXPERIENCE EXAMINATION (SCORED)

Please answer the following questions based on your training and/or experience. Based on your selected responses, your training and experience will be scored and ranked. Narratives provided by applicants describing training and/or experience will not be scored, but will be available to the hiring authority for interview and selection determinations.

 


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.
1a.

If you indicated experience performing these tasks, please describe below. If you do not have this experience, please type "none."

2.

Reviewing intake information and verifying eligibility status.

I have no or very limited experience with this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with 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.
2a.

If you indicated experience performing these tasks, please describe below. If you do not have this experience, please type "none."

3.

Selecting and preparing nutrition and breastfeeding educational 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.
3a.

If you indicated experience performing these tasks, please describe below. If you do not have this experience, please type "none."

4.

Providing nutrition education on a group or individual basis (in-person or virtual).

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.
4a.

If you indicated experience performing these tasks, please describe below. If you do not have this experience, please type "none."

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.
5a.

If you indicated experience performing these tasks, please describe below. If you do not have this experience, please type "none."

6.

Providing nutrition consultation to Public Health staff, other program staff, and outside 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.
6a.

If you indicated experience performing these tasks, please describe below. If you do not have this experience, please type "none."

7.

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.
7a.

If you indicated experience performing these tasks, please describe below. If you do not have this experience, please type "none."

8.

Maintaining appropriate records and documentation relative to departmental, regulatory, and funding source requirements.

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.
8a.

If you indicated experience performing these tasks, please describe below. If you do not have this experience, please type "none."

9.

Preparing and presenting nutritional information, and using appropriate educational methods in counseling low literacy groups.

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.
9a.

If you indicated experience performing these tasks, please describe below. If you do not have this experience, please type "none."


 

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.