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Placer County Human Resources Department
#2026-16805-01


Supplemental Questionnaire

Last Name First Name
 

 

Client Services Assistant - II

Supplemental Questionnaire

2026-16805-01

This is the supplemental questionnaire for the Client Services Assistant - II recruitment. Part I will not be scored but will be available to hiring authorities for interview and selection determination. Part II will be scored based on your checked responses. Narratives provided by applicants describing training and/or experience will not be scored but will be available to the hiring authority.

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.

NOTE: Resumes, letters, and other materials will not be evaluated or considered as responses to the this supplemental questionnaire. In addition, responses to this questionnaire will not be used to determine if the applicant meets the minimum qualifications for this position.


 

I have read and I understand the above information.


 

PART I: SERVICE AREAS, EXPERIENCE, AND SPECIALIZED SKILLS (NOT SCORED)

Responses to this section may be used for matching applicants’ interest and experience to specific service areas/assignments.  Please note that indicating "No" to any questions in this section does not exclude you from participation in this recruitment.


1.

POPULATION SERVED PREFERENCES

Adult
Older Adult

2.

BILINGUAL


 

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

Yes No
 

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

Yes No

3.

NATIVE AMERICAN


 

Are you interested in working with a Native American caseload?

Yes No
 

Do you have experience working with a Native American population?

Yes No

4.

RESIDENTIAL EXPERIENCE


 

Do you have experience working at a residential program licensed by the State of California Community Care Licensing?

Yes No

5.

LIVED EXPERIENCE


 

Do you possess Lived Experience receiving mental health services for self and/or a family member? (Please note that if you check “Yes” and are selected for interview, you may be asked to provide a description of such Lived Experience, minus any confidential medical information, relevant to program assignment.)

Yes No

 

PART II: RELEVANT KNOWLEDGE AND EXPERIENCE (SCORED)

This section of the supplemental questionnaire is the Civil Service examination for this position. This supplemental questionnaire will be scored based on your checked responses below. Some questions include the option for applicants to provide narratives to describe their training and/or experience. These narratives will not be scored, but will be available to the hiring authority and may be utilized for interview and selection determination. Scores received from this section will determine applicant ranking and placement on the eligible list.

For the items in this section, please indicate your level of experience and then provide a brief but detailed description of your related experience in the space provided. Please note references to "Experience" is defined as paid employment or internships, with amount of time calculated on a full-time basis (ie. 40 hours/week).

Resumes, letters, and other materials will not be evaluated nor considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.


1.

Describe your experience providing care and supervision to an assigned client population in all aspects of daily living activities.

I have no or very little experience.
I have some experience performing this task but would need additional training.
I have experience performing this task under close supervision.
I have experience performing this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
 

If you indicated experience, please describe below.

2.

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

I have no or very little experience.
I have some experience performing this task but would need additional training.
I have experience performing this task under close supervision.
I have experience performing this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
3.

Describe your level of experience documenting activities, behavior, incidents and responding to each appropriately or referring the incident to the appropriate party.

I have no or very little experience.
I have some experience performing this task but would need additional training.
I have experience performing this task under close supervision.
I have experience performing this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
4.

Describe your experience responding to emergency situations in an effective, timely and calm manner.

I have no or very little experience.
I have some experience performing this task but would need additional training.
I have experience performing this task under close supervision.
I have experience performing this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
 

If you indicated experience, please describe below.

5.

Describe your experience working effectively with constant or sporadic interruptions.

I have no or very little experience.
I have some experience performing this task but would need additional training.
I have experience performing this task under close supervision.
I have experience performing this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
6.

Describe your experience planning and organizing work assignments in a timely and effective manner.

I have no or very little experience.
I have some experience performing this task but would need additional training.
I have experience performing this task under close supervision.
I have experience performing this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
 

If you indicated experience, please describe below.

7.

Describe your experience assessing situations involving clients with special needs and responding in a timely and effective manner utilizing a variety of appropriate interventions.

I have no or very little experience.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
 

If you indicated experience, please describe below.


 

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