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Human Capital Management
#180410-I21B-01


Supplemental Questionnaire

Last Name First Name
 

 

ATTENTION!

Please verify that you meet the education and experience requirements listed in the job bulletin before completing the following supplemental questionnaire.  The questions below will be used for scoring purposes in lieu of a written exam.


1.

What experience do you have supervising, planning, organizing and conducting various leisure-time and physical education activities and intramural sports?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task under some supervision as a regular part of my job.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

Please list the school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

2.

What experience do you have supervising the preparation for scheduled events including insuring that the required equipment and other materials are in place?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task under some supervision as a regular part of my job.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

Please list the school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

3.

What experience do you have maintaining order and discipline during scheduled activities?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task under some supervision as a regular part of my job.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

Please list the school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

4.

What experience do you have being responsible for the selection, procurement, and inventory of equipment and supplies?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task under some supervision as a regular part of my job.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

Please list the school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

 

5.

What experience do you have accounting for damaged or missing equipment?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task under some supervision as a regular part of my job.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

Please list the school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

6.

What experience do you have scheduling and ensuring the completion of required maintenance of equipment and completing maintenance reports?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task under some supervision as a regular part of my job.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

Please list the school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

7.

What experience do you have overseeing the use of equipment and supplies in accordance with operating guidelines and safety standards?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task under some supervision as a regular part of my job.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

Please list the school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

8.

What experience do you have instructing others in the appropriate care and maintenance of equipment and recreational facilities?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task under some supervision as a regular part of my job.
I have had classes or training on this task but have not yet performed it on the job.
I have no experience with this task.
 

Please list the school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

9.

Do you have experience supervising others in the completion of job related assignments?

Yes No
 
Please list the employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
10.

What experience do you have evaluating the job performance of offenders or employees?  Check all that apply.

I have evaluated the job performance of offenders.
I have evaluated the job performance of employees.
I have no experience with this task.
 

Please list the school and location or employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below.