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Placer County Human Resources Department
#2024-16804-01


Supplemental Questionnaire

Last Name First Name
 

 

Client Services Assistant - I

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Supplemental Questionnaire

 

This is the supplemental questionnaire for this recruitment. The supplemental questionnaire is the only item used to determine your examination score.

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 exam.


 

I have read and I understand the above information.


 

SECTION I: BILINGUAL SKILLS (NOT SCORED)

Please note that indicating "No" to any questions in this section does not exclude you from participation in this recruitment. Note: Applicants indicating "Yes" to being bilingual may be required to demonstrate their proficiency via participating in a Placer County administered Language Skills Examination as part of the selection process. Upon successful completion of a foreign language proficiency exam, an additional 5% bilingual pay will be paid to employees who use a second language on a regular basis in the normal course of business.


1.

Are you English/Spanish Bilingual?

Yes No
2.

Are you English/Russian Bilingual? 

Yes No

 

SECTION II: TRAINING AND EXPERIENCE (SCORED)

Based on your responses to the questions of this 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.

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


1.

Indicate your level of knowledge of observing potential crisis situations and reporting or intervening according to prescribed procedures.

I possess no or a very little amount of this knowledge and/or ability.
I possess this knowledge and/or ability but have not applied it in a job/internship setting.
I have applied this knowledge and/or ability under close supervision.
I have applied this knowledge and/or ability independently under normal supervision.
I have used this knowledge and/or ability to train or provide consultation to others.
 

If you indicated knowledge, please briefly describe below.

2.

Indicate your level of knowledge of documenting activities, behavior, incidents and responding/referring to each appropriately.

I possess no or a very little amount of this knowledge and/or ability.
I possess this knowledge and/or ability but have not applied it in a job/internship setting.
I have applied this knowledge and/or ability under close supervision.
I have applied this knowledge and/or ability independently under normal supervision.
I have used this knowledge and/or ability to train or provide consultation to others.
 

If you indicated knowledge, please briefly describe below.

3.

Indicate your level of knowledge of routine and basic health and safety practices.

I possess no or a very little amount of this knowledge and/or ability.
I possess this knowledge and/or ability but have not applied it in a job/internship setting.
I have applied this knowledge and/or ability under close supervision.
I have applied this knowledge and/or ability independently under normal supervision.
I have used this knowledge and/or ability to train or provide consultation to others.
 

If you indicated knowledge, please briefly describe below.

4.

Indicate your level of knowledge of understanding and carrying out a variety of both oral and written instructions.

I possess no or a very little amount of this knowledge and/or ability.
I possess this knowledge and/or ability but have not applied it in a job/internship setting.
I have applied this knowledge and/or ability under close supervision.
I have applied this knowledge and/or ability independently under normal supervision.
I have used this knowledge and/or ability to train or provide consultation to others.
 

If you indicated knowledge, please briefly describe below.

5.

Indicate your level of knowledge of carrying out and participating in the interdisciplinary treatment plans developed for clients.

I possess no or a very little amount of this knowledge and/or ability.
I possess this knowledge and/or ability but have not applied it in a job/internship setting.
I have applied this knowledge and/or ability under close supervision.
I have applied this knowledge and/or ability independently under normal supervision.
I have used this knowledge and/or ability to train or provide consultation to others.
6.

Indicate your level of knowledge of assisting clients in learning and displaying appropriate behavior in classroom, recreational, work, and social settings.

I possess no or a very little amount of this knowledge and/or ability.
I possess this knowledge and/or ability but have not applied it in a job/internship setting.
I have applied this knowledge and/or ability under close supervision.
I have applied this knowledge and/or ability independently under normal supervision.
I have used this knowledge and/or ability to train or provide consultation to others.
7.

Indicate your level of knowledge in responding to inquiries from clients’ families and the general public.

I possess no or a very little amount of this knowledge and/or ability.
I possess this knowledge and/or ability but have not applied it in a job/internship setting.
I have applied this knowledge and/or ability under close supervision.
I have applied this knowledge and/or ability independently under normal supervision.
I have used this knowledge and/or ability to train or provide consultation to others.
8.

Indicate your level of knowledge of working with various cultural and ethnic groups in a tactful and effective manner.

I possess no or a very little amount of this knowledge and/or ability.
I possess this knowledge and/or ability but have not applied it in a job/internship setting.
I have applied this knowledge and/or ability under close supervision.
I have applied this knowledge and/or ability independently under normal supervision.
I have used this knowledge and/or ability to train or provide consultation to others.

 

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 confirmation that the application has been submitted.

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