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. If selected for an interview, you may be required to display and respond to questions to validate your responses to this examination.
This section will not be scored but may assist with determining how the applicant reports meeting the minimum qualifications for this classification. Applicants responding “No” are encouraged to review the minimum qualifications for this opportunity.
1.
Did you graduate from an accredited college of occupational therapy?
Yes
No
2.
Do you possess a current license as an Occupational Therapist issued by the California Board of Occupational Therapy?
Yes
No
2a.
If yes, please indicate your license number and expiration date below.
3.
Are you registered with the National Board for Certification in Occupational Therapy, Inc.?
Yes
No
SECTION II: TRAINING AND EXPERIENCE (SCORED)
Based on your responses to this section of the 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. Narratives provided 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 determination.
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.
1.
Describe your experience evaluating functional capabilities of children using appropriate assessment tools.
I possess no or very limited training or experience performing these tasks.
I possess limited training and/or experience performing these tasks.
I have some experience performing these tasks but would need additional training.
I have performed these tasks independently under normal supervision.
I have extensive experience performing these tasks and have trained and/or supervised others in the performance of these tasks.
2.
Describe your experience teaching self-care activities to children emphasizing muscle re-education involving reach, grasp, release, coordination, and balance.
I possess no or very limited training or experience performing these tasks.
I possess limited training and/or experience performing these tasks.
I have some experience performing these tasks but would need additional training.
I have performed these tasks independently under normal supervision.
I have extensive experience performing these tasks and have trained and/or supervised others in the performance of these tasks.
3.
Describe your experience administering occupational therapy care to children, including observing behavior and progress, assessing, and evaluating treatment, and adjusting treatment as needed.
I possess no or very limited training or experience performing these tasks.
I possess limited training and/or experience performing these tasks.
I have some experience performing these tasks but would need additional training.
I have performed these tasks independently under normal supervision.
I have extensive experience performing these tasks and have trained and/or supervised others in the performance of these tasks.
4.
Describe your experience establishing occupational goals and plan of service.
I possess no or very limited training or experience performing these tasks.
I possess limited training and/or experience performing these tasks.
I have some experience performing these tasks but would need additional training.
I have performed these tasks independently under normal supervision.
I have extensive experience performing these tasks and have trained and/or supervised others in the performance of these tasks.
5.
Describe your experience maintaining clinical notes and records and preparing related reports.
I possess no or very limited training or experience performing these tasks.
I possess limited training and/or experience performing these tasks.
I have some experience performing these tasks but would need additional training.
I have performed these tasks independently under normal supervision.
I have extensive experience performing these tasks and have trained and/or supervised others in the performance of these tasks.
6.
Describe your experience using equipment and supplies utilized in occupational therapy.
I possess no or very limited training or experience performing these tasks.
I possess limited training and/or experience performing these tasks.
I have some experience performing these tasks but would need additional training.
I have performed these tasks independently under normal supervision.
I have extensive experience performing these tasks and have trained and/or supervised others in the performance of these tasks.
7.
Describe your experience evaluating and/or designing special equipment (i.e., wheelchairs, orthotics, bath equipment, etc.)
I possess no or very limited training or experience performing these tasks.
I possess limited training and/or experience performing these tasks.
I have some experience performing these tasks but would need additional training.
I have performed these tasks independently under normal supervision.
I have extensive experience performing these tasks and have trained and/or supervised others in the performance of these tasks.
8.
Describe your experience obtaining information through interviews.
I possess no or very limited training or experience performing these tasks.
I possess limited training and/or experience performing these tasks.
I have some experience performing these tasks but would need additional training.
I have performed these tasks independently under normal supervision.
I have extensive experience performing these tasks and have trained and/or supervised others in the performance of these tasks.
SECTION III: ADDITIONAL TRAINING AND EXPERIENCE (NOT SCORED)
Narratives provided 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 determination.
1.
What education or experience do you have working with children who are neurologically and/or orthopedically disabled due to cerebral palsy, myelomeningocele, amputations, arthritis, or similar conditions. If you do not have experience, please enter “No experience.”
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.
