Official SealHuman Resource Services Department


#18-0305-02
Supplemental Questionnaire

Last Name
First Name
 

Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process. Additionally, your responses will also be evaluated and used in the selection process in order to identify the best qualified applicants.

Responses should be thorough and specific.  A lack of detail and explanation in the supplemental questions and in your application may result in failure or disqualification for this position.  Clarity of expression, content, experience, grammar, spelling and the ability to follow instructions will be considered in the evaluation process.  A resume will not be accepted as a substitute for properly completed responses.

Information provided in your responses to the supplemental questionnaire regarding your employment experiences must also be detailed in the Work Experience section of the application for this recruitment.  Please be sure to list all employers and required information, on your application, especially if you are referencing those employers in your responses to the supplemental questions.

By selecting yes below, you certify your understanding that all applicants must submit a complete application and complete responses to the supplemental questions in order to be considered for this recruitment. Do you understand the above statement?

Yes No
1

Do you possess one year of STD-related work experience required for this position?

Note: STD services may include counseling, education and prevention, outreach, program management, training, community capacity building, direct patient services, or policy development. HIV experience is also qualifying.

Yes No
2

Please describe your professional-level or supervisory work experience in the direct delivery of STD services to the community.  In your response, please include the name and description of the organization, your employment dates, your job title, and the scope/level of your responsibilities.

3

Describe your experience planning, administering and evaluating STD service programs. In your response, please detail the target population, CBOs or other community partners involved, and how you ensured programmatic goals were met.

4

Describe a problem you encountered in the service delivery and/or coordination of STD services.  Clearly state the problem, the resolution, and what factors you took into consideration when making your decision.

5

Please provide a specific example of a time in which you participated in or led a community capacity building project that involved multiple stakeholders, including CBOs, community members, or other groups.  Please describe the situation, your efforts to engage other groups, and the outcome.

6

Describe your experience gathering and synthesizing data from multiple sources. In your response, please detail the methods and sources you used, how you summarized and/or interpreted the data, and how the data was used.

 

The supplemental questions were designed to elicit your experience as it relates to the current recruitment in order to identify the best qualified candidates for this position. Only the best and most suitably qualified candidates will be invited to participate in the oral interviews.

By selecting yes below, you certify your understanding that all applicants who meet minimum qualifications are not guaranteed to move forward in the process. Do you understand the above statement?

Yes No

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