Official SealHuman Resource Services Department


#18-6640-01
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.

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
1.

Please select the related experience you possess which qualifies you for this position:

I possess a Masters degree from an accredited college or university in rehabilitation counseling, clinical or educational psychology, or social work/marriage and family counseling/professional counselor AND the equivalent of one year of full time experience in the class of Rehabilitation Counselor I working as an employee directly in the Alameda County classified service
I possess a Masters degree from an accredited college or university in rehabilitation counseling, clinical or educational psychology, or social work/marriage and family counseling/professional counselor AND the equivalent of two years of full time experience in the field of vocational rehabilitation, alcoholic or drug abuse rehabilitation or Mental Health treatment
I do not have any experience in the field of substance abuse rehabilitation counseling or mental health treatment.
2.

If you qualify for this position by possessing the required masters degree, please describe your professional work experience in the field of substance abuse rehabilitation and/or mental health treatment. In your response, be sure to include the name of your employer, the duration of your employment, your title, role and level of responsibility.

3.

Describe your experience providing rehabilitation counseling services to the disabled or individuals in substance abuse recovery as a vocational counselor, vocational case manager, or serving in an employment related position which is comparable. In your response, be sure to include the name of your employer, the duration of your employment, your title, role and level of responsibility.

4.

Please explain your skills and experience in being a team lead where coaching, guiding, and mentoring others was required in order to achieve the best outcomes for the clients. Include in your response, what experience you have in coordinating the efforts of others to ensure various issues and needs are addressed for the client.

5.

This position requires applicants to possess a valid California Motor Vehicle Operator's license. In the space provided below, please provide your license class, number, and expiration date.

6.

In compliance with the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job. Can you meet this criteria?

Yes No

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