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Santa Cruz County Personnel Department

Supplemental Questionnaire

Last Name First Name




The supplemental questions are designed specifically for this recruitment. Applications received without the required supplemental information will be screened out of the selection process. Employment experiences referred to in your response must also be included in the Employment History section of the application.


NOTE: Please answer the question(s) below as completely and thoroughly as possible, as your answer(s) may be used to assess your qualifications for movement to the next step in the recruitment process.


Please describe your experience in a health clinic setting. Include any experience with budget oversight, operations analysis, and process improvement.


Describe your experience with supervision of staff. Include the type of supervision performed (direct, indirect, lead work), the number of employees supervised and experience with progressive discipline.


Describe your experience working with a variety of employees including clerical, nursing, and physicians.