Official SealHillsborough County Government


#1905-ENGTCHAG07-003
Supplemental Questionnaire

Last Name
First Name

 

Supplemental Questionnaire


INSTRUCTIONS: Completion of this supplemental questionnaire is REQUIRED. Please read each question carefully and provide clear and complete responses that accurately portray your education and relevant work experience. Your qualifications for employment will be evaluated based upon the information you provide in your responses below and then verified by our staff who will review your entire application for completeness and determine qualification status.

The employers and dates of employment that you list on this supplemental questionnaire MUST match the employers and dates of employment provided in the work experience section of your employment application. Failure to provide matching employer, and dates of employment may result in your application being "not qualified" for this recruitment.

IMPORTANT NOTE: "See Resume" is not an acceptable response to any of the open-ended questions on this questionnaire and will result in your application being "not qualified" for this recruitment.



 

Select the option that indicates your HIGHEST level of completed education RELEVANT to this job.

Master's Degree
Bachelor's Degree
Associate's Degree
High School Diploma or GED
I have not completed any of the educational requirements listed above
 

Select the option that indicates years of experience assisting in the performing underground investigations or operating closed circuit TV equipment and remote-controlled camera technology.

Two years or more
One year
Less than one year
 

Please provide a narrative supporting your answer to the above question. Be sure to include the specific job title, job duties, and the organization and dates where the work was performed(Important!  The employers, and dates of employment that you list here, must also be included in the “employment” section of this job application)

 

Do you have experience in inspecting stormwater pump stations for operability and assessing for repairs and maintenance requirements?

Yes No
 

Do you possess a valid State of Florida driver’s license

Yes
No
 

License Number:

 

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By checking the box above, I certify that all of my responses are true and complete, and any misstatement of material facts OR failure to completely answer questions or provide my employer with a copy of any licenses, certifications, or other documents listed on the job announcement will subject me to disqualification from the application process and/or dismissal from employment.

I also authorize investigation of all statements contained in my application, to include a formal background check that may require education and employment verification; criminal history; and motor vehicle driving report as may be necessary in arriving at an employment decision. Further, I acknowledge understanding that an offer of employment will be subject to successfully passing a drug screen and physical.

I also understand that once I submit my application for this recruitment, I cannot edit it later.