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Human Resources Department
#18-333180-01


Supplemental Questionnaire

Last Name First Name
 

 

This Supplemental Questionnaire will be used to determine applicants’ qualifications for this position and whether they will continue in the recruitment process; therefore, applicants are encouraged to answer all questions thoroughly and completely.  In your response, please include employer name and dates of employment. Omitted information will not be considered or assumed.  Applicants who have no experience in a specific area are recommended to state "no experience in this area" instead of leaving the space blank.


1

Please describe your experience working with multi-disciplinary teams and please be specific of the other disciplines on the team as well as the benefits and challenges that exist when working with multi-disciplinary teams.

2

Please describe your experience working with youth or adults who have experienced traumatic life events or who have mental health impairments.

3

Describe a time when you were faced with an ethical dilemma. What strategies did you use to resolve the issue? What would you have done differently if faced with a similar situation? 

4

Some positions may require bilingual skills.  Applicants who indicate bilingual skills in their application may be required to demonstrate proficiency in speaking, reading and writing in the language indicated.

Are you proficient in speaking, reading and writing any of the following languages? (select all that apply)   

                 

Spanish
Tagalog
Vietnamese
None