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#0119-RM0226-01
Supplemental Questionnaire

Last Name
First Name

 

Please provide responses to the following questions.  This supplemental questionnaire is an extension of your employment application and will be reviwed to thoroughly assess your qualifications.  Resumes are not accepted in lieu of completing this questionnaire.

When responding to questions relating to your work experience, please provide a detailed description that includes the name of your employer, dates of employment (beginning and end dates), job title, number of hours worked per week, and indicate if experience was paid or unpaid.


1.

Did you graduate from an accredited four year college or university with a major in public or business administration, economics, social or behavioral science, or a closely related field?

Yes No
 

If yes, please provide the name of the four year college or university, date graduated, degree earned and the field.

2.

Do you have at least three (3) years of managerial, project management, administrative and/or quality and process improvement, in a health care or behavioral health care setting paid work experience, one year of which must have been at a level equivalent to Management Analyst II in San Joaquin County service?

Yes No
 

If yes, please provide an overview of your responsible managerial, project management, administrative and/or quality and process improvement, in a health care or behavioral health care setting paid work experience.

 

3.

Describe your paid experience and interaction with policy analysis in a State, local government, or non-profit organizational setting. Include specific examples of the types of policies or legislation and your role.

 

4.

Please describe any experience you may have in quality improvement.  Identify your role and experience in evaluating quality improvement programs and policies.

5.

Provide a detailed description of your experience in handling human resources issues, including supervision, performance evaluations, and discipline.  Include the number of employees you supervised.