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Placer County Human Resources Department
#2022-12563-01


Supplemental Questionnaire

Last Name First Name
 

 

Vital Statistics Technician - I 

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. 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 information.


 

SECTION I: MINIMUM QUALIFICATIONS SCREENING (NOT SCORED)

This section will not be scored or used for determining minimum qualifications but is provided to the applicant for informational purposes prior to completing the questionnaire. Applicants are required to demonstrate how they meet the minimum qualifications for this position on their application.

 


1.

Do you possess two years of experience in specialized records maintenance and administration?

Yes No
 

If you answered yes, please indicate what type of specialized records you have worked with. If you do not have this experience, please type “None.”


 

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 performing a wide variety of general clerical and specialized tasks in the registration and processing of specialized records.

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.
 

If you indicated experience, please describe below. If you do not have any experience, please type "None."

2.

Describe your experience reviewing documents for completeness and accuracy, pursuant to local, state, and federal mandates, codes, and other requirements (policies, procedures, 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.
 

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

3.

Describe your experience properly numbering and coding documents, entering all necessary information into a computer system, and transmitting to appropriate parties.

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.
 

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

4.

Describe your experience providing customer service over the phone, by mail and in person.

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.
 

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

5.

Describe your experience gathering and reporting data for government agencies.

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.
 

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

6.

Describe your experience coordinating the accurate input of specialized records with the appropriate parties (such as government agencies, private businesses, organizations, professionals, 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.
7.

Describe your experience processing mail order and counter service requests for copies of specialized documents.

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 complying with state, county, and local regulations as well as organizational policies and procedures.

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.
9.

Describe your experience receiving and reconciling monetary transactions and verifying and preparing monthly transmittals of fees.

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.

 

Thank you for completing the supplemental portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.

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.  

A notice of your status will be sent to you after the final filing date.