Official SealHuman Resource Services Department


#20-5649-01
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 describe your work experience in the field of environmental health, hazardous materials, hazardous waste, household hazardous waste, and/or CUPA. In your response, be sure to include the organization where you worked, duration performing the duties (dates), your title, role, and description of your responsibilities.

2.

Please list any education or training you have had regarding hazardous materials, hazardous waste, household hazardous waste, and/or CUPA. In your response, please indicate the institution and applicable courses.

3.

Please describe your experience working with various online reporting systems, database systems, and software systems. In your response, be sure to include the organization where you worked, duration performing the duties (dates), your title, role, and a description of your responsibilities.

4.

Please describe your experience working with the general public. In your response, be sure to include the organization where you worked, duration (dates), your title, role, and a description of your responsibilities.

5.

Please describe your knowledge of local oversight programs for on-site waste water treatment systems, and contaminated sites. In your response, please include the name of the employer, your position title and responsibilities, and duration of employment.  If you do not have such knowledge please respond with: N/A.

6.

Please describe your involvement as a regulated entity subject to inspection by organizations such as local CUPA, Department of Toxic Substance Control (DTSC), State Water Resources Control Board (SWRCB), California Office of Emergency Service (OES), Fire Marshall, Occupational Safety and Health Agency (OSHA), Air Board, Fire Departments as part of your current or past duties.  In your response, please include the level of staff you worked with and your role and level of responsibility within the developed partnerships. If you do not have such knowledge please respond with: N/A.

7.

Please describe your involvement as a regulated entity with other regulatory or community organizations such as the California Environmental Protection Agency (Cal EPA), Department of Toxic Substance Control (DTSC), State Water Resources Control Board (SWRCB), California Office of Emergency Service (OES), Office of the State Fire Marshall, Federal EPA, Occupational Safety and Health Agency (OSHA), Air Board, Fire Departments as part of your current or past duties.  In your response, please include the level of staff you worked with and your role and level of responsibility within the developed partnerships. If you do not have such knowledge please respond with: N/A.


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