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Human Resources Department
#20-343130-01


Supplemental Questionnaire

Last Name First Name
 

 

This Supplemental Questionnaire will be used to determine applicants’ qualifications for this position and assess an applicant’s ability to advance in the recruitment process; therefore, applicants are encouraged to answer all questions thoroughly and completely.  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.

Please note that the experience in your answers must be reflected in your employment history.


1

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
2

Below best describes how I meet the requirements for this position:

A. I have at least one year of experience equivalent to the Social Worker I in Solano County
B. I have the equivalent to graduation from a four-year accredited college or university with coursework that has preferably included thirty (30) semester units in social welfare, sociology, psychology, counseling, gerontology, vocational guidance or other related behavioral science AND one year of experience performing professional level social work with a public social services agency or private social services provider
C. I possess a Master’s degree in Social Work (MSW) or a two year graduate level counseling degree emphasizing marriage, family and child counseling, gerontology, or clinical psychology. (Both the MSW and two year counseling degree must included supervised field work or an internship)
D. I do not meet the position requirements
3

If I answered B or C to question 2, I understand that education documents are required.

If I answered B, I will submit a copy of my transcripts (official or unofficial copies which verify the institution attended, student, courses and units completed) by the final filing deadline.

If I answered C, I will submit a copy of my degree or transcripts (official or unofficial copies which verify date and degree conferred, institution attended, and student) for my MSW or two year graduate level degree emphasizing marriage, family and child counseling, gerontology, or clinical psychology by the final filing deadline.

Yes No