Official SealHuman Resource Services Department


#22-5870-01
Supplemental Questionnaire

Last Name
First Name
1.

Thank you for your interest in the Supervising Therapist position. 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 are required to submit complete responses to the supplemental questions and a complete application in order to be considered for this recruitment.

Do you understand the above statement?

Yes No
2.

What are three leadership qualities you possess? Provide specific examples from your work that demonstrate each of these qualities.

3.

Describe a situation that highlights how you identified a problem in your work and took the initiative to correct it. In your response, describe the issue, your role and the result or outcome.

4.

Describe a situation when you implemented family-centered care principles when working with a client or family. What was effective? What was challenging? How would you ensure that staff practice family-centered care when working with clients and families?

5.

Describe a time when you experienced unexpected changes in the workplace and how employing effective communication skills was critical to managing this change for your team. What and how did you communicate? What made it effective? What was challenging?

6.

Describe a time when you received constructive feedback from a supervisor. What was the feedback and how did you both approach and respond to the feedback? When leading staff, what do you think are important qualities for staff to possess when providing them with feedback?

7.

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 next step in the process.

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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