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Placer County Human Resources Department
#2022-14327-01


Supplemental Questionnaire

Last Name First Name
 

 

NUTRITIONIST - I

(Registered Dietitian)

Supplemental Questionnaire

 

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

Please note: Resumes, letters and other attached materials will not be evaluated or taken into consideration as responses to this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.

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 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 a bachelor's degree from an accredited college or university with major coursework in food and nutrition or a related field, including an academic internship approved by the American Dietetic Association?

Yes No

 

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)

Based on your responses to the questions 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. Narrative responses by applicants 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.

Indicating no or very limited experience in any specific area will not automatically disqualify you from consideration.

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


1.

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.
1a.

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

2.

Assessing nutritional status, including analysis of diets for nutritional adequacy, social well-being, 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.
2a.

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

3.

Providing nutrition education on an individual or group 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.
3a.

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

4.

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.
4a.

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

5.

Cultivating working relationships and making referrals within the Public Health Division, other County departments, community partners and medical professionals.

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.

Preparing and presenting nutrition, and breastfeeding training to program staff, public health programs, and community partners. 

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.

Providing nutrition consultation for client groups with low literacy skills, and from a variety of socio-economic, age, and other ethnic populations. 

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.

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.
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. 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.