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Placer County Human Resources Department
#2022-11797-01


Supplemental Questionnaire

Last Name First Name
 

 

Communicable Disease Specialist

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 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 the equivalent of completion of an associates degree from an accredited college or university with major coursework in healthcare, health science or a closely related field?

Yes No
1a.

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

2.

Do you possess two years of experience working with the general public which requires interviewing and obtaining confidential or personal information?

Yes No
2a.

If you answered yes, please describe this experience below, including any experience you may have working in a public health setting. If you answered no, please state, “No experience.”


 

SECTION II: SPECIALIZED SKILLS (NOT SCORED)


1.

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

Yes No
2.

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

Yes No

 

SECTION III: 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.

Interpreting, explaining, and enforcing federal, state, and local statutes, policies, and regulations pertaining to the investigation of communicable disease contacts.

I have none or a very limited amount of experience performing this task.
I have been trained 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. If you do not have any experience, please enter “No experience.”

2.

Responding to requests from the general public.

I have none or a very limited amount of experience performing this task.
I have been trained 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. If you do not have any experience, please enter “No experience.”

3.

Documenting reportable cases using appropriate computer applications.

I have none or a very limited amount of experience performing this task.
I have been trained 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.
3a.

If you indicated experience, please describe below. In your answer, please indicate what computer applications were used. If you do not have any experience, please enter “No experience.”

4.

Obtaining confidential and sensitive information through interviews.

I have none or a very limited amount of experience performing this task.
I have been trained 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, please enter “No experience.”

5.

Investigating and researching reported cases of communicable disease, including HIV or AIDS, sexually transmitted diseases (STDs), tuberculosis (TB), and vaccine preventable diseases, and conducting inspections as needed.

I have none or a very limited amount of experience performing this task.
I have been trained 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.
5a.

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

6.

Conducting interviews to determine location of known contacts and to trace other persons who may be sources or affected by acute communicable disease.

I have none or a very limited amount of experience performing this task.
I have been trained 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.
7.

Interviewing and counseling contacts, encouraging compliance to public health laws and observance of recommended health practices.

I have none or a very limited amount of experience performing this task.
I have been trained 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.

Organizing, prioritizing, and coordinating communicable disease work activities.

I have none or a very limited amount of experience performing this task.
I have been trained 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.

 

Thank you for completing the supplemental questionnaire portion of the application process. 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.

Please review the Selection Plan on the Job Posting for next steps in the recruitment process.