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.

Which best describes your experience and education from an accredited college or university? 

NOTE: Depending on how you qualify, candidates must submit a copy of their college diploma (verifying the degree, date earned, and area of specialization); official/unofficial transcripts (verifying the student, institution, courses and units completed, degree conferred and degree conferral date); or a letter from their school verifying good standing in the Title IV-E program and the anticipated graduation date.

If you are in the process of obtaining a Master's degree in Social Work, please provide your anticipated graduation date, otherwise type in "N/A."

NOTE: As mentioned in Question 1, applicant's who have not yet obtained their MSW must submit a letter from their school)

Are you a current or former Title IV-E MSW Student?

If yes, did you intern with Solano County Child Welfare Services?

If you are a current or former Title IV-E MSW Student and did not intern with Solano County, which other County Child Welfare Services Department did you intern with? If not, please fill in "N/A."

Select the work experience (may include internship experience) that you have working within Child Welfare. Choose all that apply.

Level of experience with the following typical Child Welfare duties:

Write Investigation Narratives:

Write reports for the Court (i.e. Detention, Jurisdiction, Jurisdiction/Disposition, status reviews, termination of parental rights, etc.):

Write and modify Case Plans:

Experience utilizing CWS/CMS system:

Conduct monthly planned compliance visits with foster youth per Division 31 regulations:

Conduct unannounced home visits due to safety concerns and/or as part of a case plan:

Facilitate/lead multi-disciplinary team meetings:

Investigate abuse and neglect:

Working on a Hotline (Answering Abuse calls, writing intake narratives, completing risk and safety assessments, and writing referral):

Remove children from parent/guardian’s custody as the result of abuse and/or neglect:

Applicable Social Work Skills

Worked with involuntary or reluctant clients:

Writings of any type that were submitted to a court setting or whose results have legal ramifications:

Conducted Social Work including field visits in risky settings to serve clients (i.e. homeless encampments, areas of high crime, jail settings, psychiatric settings):

Lead or participate in client-centered team planning meetings (i.e. Child & Family Team, Wraparound, etc.):

Working on a crisis line where the purpose is to screen, and/or assess the safety of the caller. (i.e. suicide hotline, mental health warm line, etc.):

Place children in a resource home, relative home, Foster Family Agency Home, group home or STRTP:

Which statements describes your experience conducting home visits with clients (select all that apply):

Which statements reflect the areas in which you have experience as a Social Worker (select all that apply):

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)