Official SealHuman Resource Services Department


#20-2117-01
Supplemental Questionnaire

Last Name
First Name
1.

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 of this statement:

Yes No

 

QUESTIONS 2 AND 3, ALONG WITH YOUR APPLICATION, WILL BE USED TO ASSESS WHETHER OR NOT YOU MEET THE MINIMUM QUALIFICATIONS


2.

Do you possess a Bachelor’s degree from an accredited college or university with major coursework in public health, occupational health, industrial hygiene, environmental health or a closely related field?

Yes No
3.

Please describe your experience in a position in which you were responsible for a comprehensive safety and accident prevention program in an organization with a large and diverse employee group. Include dates, length of employment and description of the duties for which you were responsible.


 

QUESTIONS 4 THROUGH 7 WILL BE USED IN THE SCREENING FOR BEST QUALIFIED COMPONENT


4.

Please describe your experience investigating accidents and conducting hearings. What methods did you use and what was the outcome?

5.

Please describe a time when you identified and analyzed hazardous conditions and equipment and developed corrective measures. What was the situation, what steps did you take and what was the outcome? 

6.

Describe an example of a comprehensive health and safety program you planned and implemented for a large organization. What steps did you take to implement the program and what was the outcome?

7.

Describe a time when you had to collect, assemble and analyze statistical data to make an important decision or to recommend a solution as it relates to a safety and accident prevention program. In your response, please make sure to include the impact the data had, any obstacles you faced and the outcome.

8.

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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