Official SealHuman Resource Services Department


#21-5794-01
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 that all applicants must submit a complete application and complete responses to the supplemental questions in order to be considered for this recruitment.

Do you understand the above statement?

Yes No
2.

Describe your professional work experience delivering nutrition and/or dietetic services.  In your response, please include your total number of years of full-time equivalent experience and the employer(s) where you obtained this experience.

3.

Describe your professional work experience performing program planning and evaluation functions in support of dietetic and/or nutrition services and programs.

4.

Describe your experience collaborating with various community-based and public health organizations. In your response, include the employer where you obtained this experience and a thorough description of duties and key contributions.

5.

Please describe your experience monitoring and evaluating the nutrition programs of other agencies. In your response, explain your approach/process, as well as the outcomes.   

6.

Describe a nutrition education program you have designed and implemented. In your response, indicate the methods you utilize to measure the effectiveness of such program.

7.

Describe your experience leading or supervising multi-disciplinary staff. Provide a specific example of a challenging situation you have encountered with an employee. What made the situation challenging, what steps did you take to overcome the challenge, and what was 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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