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Human Capital Management
#180711-R10B-01


Supplemental Questionnaire

Last Name First Name
 
 
Do you have any of the following?
bachelor's degree in chemistry, biological or environment science PLUS one year of professional level experience in a laboratory
master's degree in chemistry, biological or environment science
none of the above

 

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.

Please check all of the following college chemistry courses you have completed.

General Chemistry I
General Chemistry II
Instrumental Aanlysis
Instrumental Analysis II
Biochemistry I
Biochemistry II (Advanced)
Quantitative Analysis/Analytical Chemistry
Organic Chemistry I
Organic Chemistry II
Advanced/Qualitative Organic Chemistry
Physical Chemistry I
Physical Chemistry II
Environmental Chemistry
Inorganic Chemistry
Advanced Inorganic Chemistry
Microbiology
I have not completed any of the classes listed above.
 

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

2.

Please check all of the following college courses you have completed.

Technical writing
Quality Assurance/Quality Control
Statistics
Calculus
Ethics
Logic
Environmental Law
Spreadsheet/Database
Business Communications
I have none of the classes listed above.
 

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

3.

Please check all of the following you have written or presented.

Senior thesis
Master thesis
Doctoral thesis
Journal publications
Standard operating procedures
Poster presentation
Professional meeting presentation
I have not written or presented any of the above.
 

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.

Have you been part of an audit team or been audited by an accrediting body?

Yes No
 

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.

How many college chemistry lab credit hours do you have?  (Do not include lecture credit hours.)

More than 20.
16-20.
11-15.
6-10.
1-5.
0.
 

Please list the course(s) where you gained your lab credit hours as indicated in the response above.  If you indicated "no lab credit hours", then please type N/A below.

6.

How many college physics lab credit hours do you have?  (Do not include lecture credit hours.)

More than 20.
16-20.
11-15.
6-10.
1-5.
0.
 

Please list the course(s) where you gained your lab credit hours as indicated in the response above.  If you indicated "no lab credit hours", then please type N/A below.

7.

How many college biology/microbiology lab credit hours do you have?  (Do not include lecture credit hours.)

More than 20.
16-20.
11-15.
6-10.
1-5.
0.
 

Please list the course(s) where you gained your lab credit hours as indicated in the response above.  If you indicated "no lab credit hours", then please type N/A below.

8.

What experience do you have utilizing elements of quality control associated with analytical laboratory testing?

I have performed this task in a professional setting.
I have performed this task in college courses.
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.

What experience do you have using laboratory information management systems to document information relating to sample collection, identification, analysis, quality control and reporting?

I have performed this task independently.
I have performed this task under supervision.
I am familiar with this task or have received some training on it.
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. 

10.

Please check all of the following activities and analysis types that you can perform and demonstrate proficiency.

Pipette using fixed or adjustable pipettes
Instrument or equipment calibration
Preparation of reagents
Sample preservation
Preparation of calibration standards or reference materials
Gravimetric Analysis
Enzyme-Linked Immunosorbent Assay (ELISA)
Flow Injection Analysis
Gas Chromatography/Mass Spectrometry
Gas Chromatography
Liquid Chromatography/Mass Spectrometry
Alpha or Gamma Spectrometry
Bright-field Microscopy
Sample extraction
Colorimeter analysis
Spectrophotometry
High pressure liquid chromatography (HPLC)
Ion chromatography
Inductively coupled plasma (ICP); Inductively coupled plasma-Optical emission spectrometry (ICP-OES); or Inductively coupled plasma-Mass spectrometry (ICP-MS)
Ultra-Violet Visible Spectroscopy
Atomic Absorption Spectroscopy
Atomic Emission
I have no experience with any of the above activies or analyses.
 

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. 

11.

Please check all of the following software you have experience using.

Microsoft Outlook or similar email program
Microsoft Word or similar word processing software
Microsoft Access or similar database software
Microsoft Excel or similar spreadsheet software
I have none of the experience listed above.
 

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. 

12.

Please check all of the following laboratory equipment/instrumentation you have hands on experience operating.

sample preparation and extraction apparatus
gas chromatograph
gas chromatograph mass spectrometer
liquid chromatograph mass spectrometer
liquid chromatograph
atomic absorption spectrometer
inductively coupled plasma spectrometer (ICP)
inductively coupled plasma (ICP) mass spectrometer
ion chromatograph
flow analyzer
x-ray fluorescent analyzer
light microscope
gas proportional counter
gamma spectrometer
alpha spectrometer
electronic balance
stir/hot plate
fume hood
Bunsen burner
vacuum pump
spectrophotometer
electrode meter
colorimeter
incubator
water bath
centrifuge
sample digestion/distillation block
autoclave
separatory funnels for extraction
radon counter
high performance liquid chromatograph
I have none of the experience listed above.
 

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. 

13.

Please check all of the following samples with which you have experience performing laboratory procedures.

air
water
soil
waste
highway construction materials
agricultural samples
food
micro organisms
I have none of the experience listed above.
 

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.