Official SealHuman Resource Services Department


#18-6491-01
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 how you are qualified from the options below:

The equivalent of one year of experience in the class of Mental Health Specialist I. (Possession of a California Psychiatric Technician license may be substituted for experience.)
The equivalent of one year of experience performing duties comparable to those of Mental Health Specialist I, under supervision.
Possession of a valid license to practice as a Vocational Nurse in the State of California and the equivalent of six months of experience performing duties comparable to those of Mental Health Specialist I, under supervision.
2.

If you qualify for this position by possessing one year of full-time experience as a Mental Health Specialist I working for the Alameda County classified service, please provide the duration of your experience (employment dates), your role and a description of your primary related responsibilities:

3.

If you qualify for this position by possessing the equivalent of one year of experience performing duties comparable to those of Mental Health Specialist I, under supervision, please provide the organization where you worked, duration of experience (employment dates), your title, your role and a description of your primary related responsibilities.

4.

If you qualify for this position by possessing a valid license to practice as a Vocational Nurse in the State of California and the equivalent of six months of experience performing duties comparable to those of Mental Health Specialist I, under supervision, please list your valid license to practice as a Vocational Nurse in the State of California.  Please also provide the organization where you performed the duties comparable to those of Mental Health Specialist I, the duration of that comparable experience (employment dates), your title, your role and a description of your primary related responsibilities.

5.

Please describe your experience and understanding of the key issues and relationships that are essential of a Mental Health Specialist.

6.

Please describe your experience collaborating and working with a multidisciplinary team (i.e. behavioral health professionals, agencies, consumers, clinicians, doctors, nurses, etc.) within a high volume clinic and/or program providing services to consumers with serious behavioral health issues. Include any specific experience you have working with a large intensive psychiatric case load or working within a juvenile justice mental health setting such as a detention center, or court or that which makes you the best candidate.

7.

Please describe your experience as a consumer who has received services in the public and/or private mental health system, or as a direct family member/caregiver of a mental health consumer who has received services in the public and/or private mental health system, AND training and/or experience with the concepts of self-help, peer/family support and/or wellness/recovery/resilience.  Include the duration of that experience.

8.

This classification may require applicants to possess a valid California Motor Vehicle Operator's license.  In the space provided below, please provide your license class, number, and expiration dates.

9.

I understand in compliance with the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as a condition of employment that employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job and I am able to meet this requirement.

Yes No

E-mail | Phone: (510) 272-6471 | 8am - 5pm M-F | Powered by JobAps