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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.



Describe the areas of specialization in which you have experience. Include any experience you have working with children and adolescents, and the range of diagnoses in that population.


Describe your experience working with pediatric clients that includes conducting an assessment of their
functional skills and a follow up treatment plan.  Include an example of a difficult client situation you worked    
with and how you resolved the problems you faced.