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Placer County Human Resources Department
#2022-13645-02


Supplemental Questionnaire

Last Name First Name
 

 

Health and Human Services Program Manager

Public Health

Supplemental Questionnaire

(2022-13645-02)

 

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.


 

I have read and understood the above instructions.


 

SECTION I: MINIMUM QUALIFICATIONS SCREENING (NOT SCORED)

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.

Do you possess a bachelor's degree from an accredited college or university?

Yes No
1a.

If yes, please indicate your degree received and major coursework completed:

2.

Do you possess five years of increasingly responsible clinical and/or administrative experience in a health or human services agency, including at least two years of supervisory responsibility?

Yes No
2a.

If yes, please briefly describe your related experience below:


 

SECTION II: TRAINING & 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 supervising and/or managing a diverse group of public health professionals with backgrounds across a wide spectrum of services.

I have none or 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, include the number of staff you supervised/managed, their classifications, and your specific role and level of responsibility/authority. If you do not have any experience in this area, state “No Experience.”

2.

Describe your experience leading or supporting a health or human services agency.

I have none or 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. In your response, provide a description of the program and/or initiative, the population involved, and your role. If you do not have any experience in this area, state “No Experience.”

3.

Describe your experience organizing, implementing, and directing assigned program operations and activities.

I have none or 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.
4.

Describe your experience assisting in the development and monitoring of multiple program budgets and work plans.

I have none or 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. If you do not have any experience in this area, state "No Experience."

5.

Describe your experience disseminating state work plans for local public health programs.

I have none or 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.
6.

Describe your experience presenting justification and evidence in support of requests for additional program resources and monitoring and controlling expenditures.

I have none or 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. If you do not have any experience in this area, state “No Experience.”

7.

Describe your experience managing performance via daily feedback, performance evaluations, verbal and written documented counseling, performance improvement plans, and/or written reprimand.

I have none or 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.
8.

Describe your experience administering record keeping and reporting functions to ensure compliance with stated mission, goals, regulations, and guidelines.

I have none or 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. If you do not have any experience in this area, state “No Experience.”

9.

Describe your experience negotiating contracts with professionals and/or a service provider.

I have none or 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.
10.

Describe your experience managing projects that have had an organization-wide impact within a health and/or human services agency.

I have none or 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.

 

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