Supplemental Questionnaire

	Placer County Human Resources Department

	#2024-14710-01
	Supplemental Questionnaire


Last Name	First Name

Staff Services Analyst - II

Supplemental Questionnaire

SECTION I: DEPARTMENT ASSIGNMENT PREFERENCES

This questionnaire will be used as filtering criteria when certifying lists to requesting departments. Please mark YES or NO to specify the departments for which you would like to be considered for interviews.

Air Pollution Control District

Yes No

Assessor's Office

Yes No

Child Support Services

Yes No

Community Development Resource Agency

Yes No

County Counsel

Yes No

County Executive Office

Yes No

District Attorney's Office

Yes No

Health and Human Services

Yes No

Information Technology

Yes No

Public Works

Yes No

Sheriff's Office

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.

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.

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.

INSTRUCTIONS: For each item, please select the option that best corresponds with your relevant training and/or experience.

Do you have experience formulating procedures, policies, and program alternatives using data from a broad spectrum of administrative and program related topics?

I have no experience or a very limited 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 supervised others performing this task

1a.

If you indicated experience performing this task, please describe below. If you indicated no experience, please state “None.”

Do you have experience developing and maintaining cost analysis and program evaluations?

I have no experience or a very limited 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 supervised others performing this task

2a.

If you indicated experience in performing this task, please describe below. If you indicated no experience, please state "None."

Do you have experience analyzing and developing proposals and reports regarding proposed legislation and advising management on the impact or potential impact?

I have no experience or a very limited 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 supervised others performing this task

3a.

If you indicated experience in performing this task, please describe below. If you indicated no experience, please state "None."

Do you have experience analyzing, interpreting, explaining, and enforcing department, local, state and/or federal laws, rules and regulations, and policies?

I have no experience or a very limited 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 supervised others performing this task

4a.

If you indicated experience in performing this task, please describe below. Include in your response if this experience is in the private or public sector. If you indicated no experience, please state "None."

Do you have experience in developing or assisting in the development of statistical tracking systems and management reports for the identification of trends, application of staff resources, and application of funding, or others as identified?

I have no experience or a very limited 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 supervised others performing this task

5a.

If you indicated experience in performing this task, please describe below. If you indicated no experience, please state "None."

Do you have experience working with any of the following? (Check all that apply)

Eligibility Determination Systems

Grant writing

Report writing

Processing data

Providing status updates and directions from reports

Health Information Exchange (HIE)

Relational database systems and related programming languages

Human Resources Processes/Functions

None of the Above

6a.

If yes, please describe what type of data and reports you processed and how you synthesized that information to share simplified instruction or status of complex or lengthy information. If you indicated no experience, please state "None."

Please indicate, by marking below, which computer software programs you are skilled in using. (Check all that apply)

Adobe Acrobat

Microsoft Word

Microsoft Excel

Microsoft Access

Microsoft Publisher

Microsoft Outlook

Microsoft Visio

Microsoft Teams

Microsoft Power BI or Tableau

Video conference software

None of the above

7a.

Please describe below a specific project you organized utilizing one of the above listed programs, the steps you took to complete the project, and the outcome of the project. If you indicated no experience, please state "None."

Do you have experience participating in the administration, negotiation, monitoring, and evaluation of contracts with outside vendors?

I have no experience or a very limited 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 supervised others performing this task

8a.

If you indicated experience in performing this task, please describe below. If you indicated no experience, please state "None."

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

Please click "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.