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Placer County Human Resources Department
#2021-13621-05


Supplemental Questionnaire

Last Name First Name
 

 

HEALTH & HUMAN SERVICES PROGRAM SUPERVISOR

Public Health

 Supplemental Questionnaire



 

This supplemental questionnaire is the examination for this recruitment. The supplemental questionnaire is the only item used to determine your examination score.

Applicants must complete Parts I, II, III, IV, and V of the supplemental questionnaire to be considered for the current recruitment.

Please note: Resumes, letters, and other attached materials will not be evaluated or taken into consideration as responses to 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.


 

I have read and understood the above information.


 

PART I: MINIMUM QUALIFICATIONS SCREENING (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 have four years of increasingly responsible experience in providing professional and/or clinical client services with at least two years of the qualifying experience at the journey level or higher?

Yes No
1a.

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

2.

Do you possess the equivalent to a bachelor’s degree from an accredited college or university?

Yes No

 

PART II: EDUCATIONAL BACKGROUND (NOT SCORED)

This section may be used for screening purposes by hiring divisions and will not be scored.


1.

Do you possess a master’s degree from an accredited college or university in public health, health sciences, or a closely related field?

Yes No
1a.

If you answered yes, please indicate your area of study below. 


 

PART 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. 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

 

PART IV: TRAINING & EXPERIENCE EXAMINATION QUESTIONS (SCORED)

Based on your responses to the questions in Part IV of this supplemental questionnaire, your job-related experience and 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 narrative responses provided in this section will not be scored but may be used by the hiring authority to determine which applicants they will invite to their hiring interviews.

For the following questions, select the response that best corresponds with your relevant training and/or experience.


1.

Describe your experience providing professional and/or clinical services in support of a Public Health services program.

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.
1a.

If you indicated experience, please describe below. In your response, please include any experience with COVID-19 funded program areas such as case investigation, contract tracing, vaccine planning, testing, data, outbreak planning/response, and equity.

2.

Describe your experience recommending improvements and modifications to your assigned program or work unit.

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.
2a.

If you indicated experience, please describe below. 

3.

Describe your experience participating in the development and implementation of assigned program’s policies, practice guidelines, goals, and objectives.

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.
3a.

If you indicated experience, please describe below. 

4.

Describe your experience ensuring compliance with, and monitoring adherence to county, state, and federal rules, and 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.
4a.

If you indicated experience, please describe below. 

5.

Describe your experience maintaining a variety of records and documentation and preparing reports on program operations and activities.

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.
5a.

If you indicated experience, please describe below. If you do not have this experience, please type “None.”

6.

Describe your experience assisting in the development and monitoring of an assigned program budget.

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.
6a.

If you indicated experience, please describe below. 

7.

Describe your experience administering grants and monitoring work performed under grant/program terms.

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.
7a.

If you indicated experience, please describe below. In your response, please include any experience with designing, implementing, and evaluating COVID-19 grant applications.

8.

Describe your experience planning, assigning, and reviewing the work of staff.

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.
8a.

If you indicated experience, please describe below. 


 

PART V: ADDITIONAL TRAINING AND/OR EXPERIENCE (NOT SCORED)

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


1.

Briefly describe your experience collecting, analyzing, and reporting data. In your answer, please describe how you compiled the information into a statistical report, how the information was used, and why such data collection is important.

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.

Please click "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.