Official SealHuman Resource Services Department

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

Please describe your clinical experience working with consumers with serious and persistent mental illness, highlighting the theories, principles, and practices that you used to support symptom reduction.


Please describe your past lead or supervisor experience of behavioral health clinical staff.  In your response, please include the number and titles of staff you oversaw along with the environment (community settings, schools, jail, hospital, etc.).  Include the practices you used for effective, culturally-sensitive supervision, work planning, evaluation, training, and community behavioral health care consultation.


This position supervises clinicians and peer staff providing services throughout the system of care (community settings, schools, jail, hospital, residential, crisis residential, etc.).  Please describe your experience with the pertinent laws, rules, and regulations of this work and how you assure your staff is compliant to them.


On a regular basis, a supervisor is presented with situations that they will need to analyze, evaluate and make sound decisions. Please describe your process in decision making and give an example that demonstrates this process.


Please describe your experiences working with diverse populations, and how you prepare and work with diverse individuals so that all stakeholders feel engaged, respected, and included.


Collaborating with internal staff, as well as external partners, is an integral part of the supervisor position. Please describe your experience establishing and maintaining effective work relationships.