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Placer County Human Resources Department
#2022-15542-01


Supplemental Questionnaire

Last Name First Name
 

 

Eligibility Specialist - I

(Extra Help WIC Breastfeeding Peer Counselor)

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: SPECIALIZED SKILLS (NOT SCORED)


1.

Have you successfully breastfed at least one baby?

Yes No
2.

Are you English/Spanish bilingual? (Placer County may administer a Spanish Language Skills Examination as part of the selection process.)

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 providing basic breastfeeding information and support to pregnant and breastfeeding women under the direction of a Nutritionist or Lactation Consultant.

No experience
Less than two years of experience
2 to 4 years of experience
4 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
1a.

If you indicated experience, please describe below. If you do not have any experience, please enter “No experience.”

2.

Describe your experience facilitating breastfeeding groups under the direction of a Nutritionist or Lactation Consultant.

No experience
Less than two years of experience
2 to 4 years of experience
4 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
2a.

If you indicated experience, please describe below. If you do not have any experience, please enter “No experience.”

3.

Describe your experience referring individuals to community programs.

No experience
Less than two years of experience
2 to 4 years of experience
4 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
3a.

If you indicated experience, please describe below. If you do not have any experience, please enter “No experience.”

4.

Describe your experience maintaining appropriate and accurate client records, documentation, and performing data entry into automated record systems.

No experience
Less than two years of experience
2 to 4 years of experience
4 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
4a.

If you indicated experience, please describe below. If you do not have any experience, please enter “No experience.”

5.

Describe your experience performing a variety of administrative support and clerical duties including filing, maintaining records and statistics, and word processing.

No experience
Less than two years of experience
2 to 4 years of experience
4 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
6.

Describe your experience effectively obtaining information through interview with a wide variety of individuals from diverse cultural and socio-economic backgrounds.

No experience
Less than two years of experience
2 to 4 years of experience
4 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
7.

Describe your experience following written and oral directions and instructions.

No experience
Less than two years of experience
2 to 4 years of experience
4 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
8.

Describe your experience analyzing situations quickly and objectively and determining the proper course of action within established guidelines and parameters.

No experience
Less than two years of experience
2 to 4 years of experience
4 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience

 

Thank you for completing the examination 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 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.