Supplemental Questionnaire

	Placer County Human Resources Department

	#2022-14450-01
	Supplemental Questionnaire


Last Name	First Name

Client Services Counselor - I

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Supplemental Questionnaire

2022-14450-01

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 understood the above information.

SECTION I: MINIMUM QUALIFICATIONS (NOT SCORED)

Do you possess the equivalent to a bachelor’s degree from an accredited college or university with major course work in sociology, psychology, counseling, behavioral sciences or a related field OR a license issued by the State of California as a Psychiatric Technician? If no, you are encouraged to review the minimum qualifications for this classification.

Yes No

Do you possess two years of experience performing client services and support functions in a public health/social services environment?

Yes No

SECTION II: DEPARTMENT/ASSIGNMENT PREFERENCE (NOT SCORED)

Please check the boxes that correspond with the population(s) you are interested in being assigned to:

Children / Adolescent

Transition Age Youth

Adult

Older Adult

Please mark "Yes" or "No" to specify the program(s) in Health and Human Services division(s) you are interested in being assigned to:

Adult System of Care:

Adult Protective Services (APS) - A 24-hour program mandated by the State that investigates allegations of harm to seniors and dependent adults who are reported to be endangered by physical, sexual, and financial abuse, isolation, neglect or self-neglect.

In-Home Support Services (IHSS) - A program that allows limited-income elderly, blind, or disabled people to hire someone to help with household tasks, transportation, protective supervision, and certain paramedical services ordered by a physician. Recipients remain safely in their home rather than relocating to a care facility or institution.

Mental Health Services - ASOC partners with other agencies to provide a variety of needs-based services including: assessments, mental health clinical and support services, mental health crisis response, housing assistance, peer support, and psychiatric medication services. Supervisory specialty areas include crisis services, housing, and consumer development.

Please indicate your interest in being assigned to any program within Adult System of Care (ASOC) by checking "Yes" or "No" below.

Yes No

Children's System of Care:

Child Welfare Services- Investigations and services to children who are at risk or have suffered from abuse or neglect, and their families. This includes intake, ongoing services, approval of caretakers for youth, and support/coaching for families in crisis.

Please indicate your interest in being assigned to Child Welfare Services by checking "Yes" or "No" below.

Yes No

Mental Health Services- Programs to provide intensive in-home support services to families in Placer County where children are at risk of out-of-home placement or have been put in placement and cannot return home successfully without extra support. Family Support Counselors ensure that families receive needed and required services.

Please indicate your interest in being assigned to Mental Health Services by checking "Yes" or "No" below.

Yes No

Human Services:

Employment Services (ES) - In partnership with CalWORKS, ES provides wrap-around support to participating families to gain valuable job and life skills in order to increase self-sufficiency. ES provides case management along with workshops that focus on resume building, mock-interviews, and assistance with finding, obtaining, and keeping employment and education opportunities.

Please indicate your interest in being assigned to Human Services by checking "Yes" or "No" below.

Yes No

SECTION III: BILINGUAL SKILLS (NOT SCORED)

Please note that indicating "No" to any questions in this section does not exclude you from participation in this recruitment. Note: Applicants indicating "Yes" to being bilingual may be required to demonstrate their proficiency via participating in a Placer County administered Language Skills Examination as part of the selection process. Upon successful completion of a foreign language proficiency exam, an additional 5% bilingual pay will be paid to employees who use a second language on a regular basis in the normal course of business.

Are you English/Spanish bilingual?

Yes No

Are you English/Russian bilingual?

Yes No

SECTION IV: TRAINING AND EXPERIENCE (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.

Please note that indicating you have no training and/or experience in a specific area will not automatically disqualify you from participating in this recruitment.

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

Indicate your level of knowledge effectively interviewing individuals who may be physically, mentally and/or emotionally impaired or distressed.

I have no knowledge or a very limited amount of knowledge in this area.

I have been trained and/or taken course work in this area.

I have applied this knowledge to perform tasks under close supervision.