	Human Capital Management

	#180829-L16A-09
	Supplemental Questionnaire


Last Name	First Name

Do you have any of the following?

bachelor's degree in an agricultural, biological, plant, animal, physical or natural science, food technology or a closely related field

four (4) years of experience in agricultural, biological, plant, animal, physical or natural science, food technology or a closely related work

a combination of college coursework in an agricultural, biological, plant, animal, physical or natural science, food technology or a closely related field AND experience in agricultural, biological, plant, animal, physical or natural science, food technology or a closely related work that totals four (4) years

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.

Please check your highest level of education.

Master's degree in an agriculture-related field

Bachelor's degree in an agriculture-related field

Associate's degree in an agriculture-related field

I have completed some agricultural courses but do not have a degree.

High school diploma

I have none of the education 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.

Please check all of the following computer programs you have experience using.

Microsoft Word or similar word processing software

Microsoft Excel or similar spreadsheet software

Microsoft Outlook or similar e-mail program

I have none of the education 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.

What experience do you have with the general care of poultry? Examples include: raising poultry, administering medication, catching, feeding, and showing.

I have been responsible for the general care of poultry on a corporate poultry farm, in a vet clinic, or have similar experience.

I have been responsible for the general care of poultry on a personal poultry farm or have similar experience.

I have exhibited poultry in a livestock show.

I have experience around poultry, but have not been responsible for their general care.

I have no experience with poultry.

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.

Please check all of the following experience you have identifying or treating illness in poultry.

I have identified illness symptoms in poultry.

I have treated illness in poultry.

I have none of the experience listed above.

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.

What is your experience with the general care of cattle? Examples include: raising, feeding, sorting, penning, administering medication, and showing.

I have been responsible for the general care of cattle by working at a feedlot, sale barn, in a vet clinic, or have similar experience.

I have been responsible for the general care of cattle on a personal ranch or have similar experience.

I have exhibited cattle in a livestock show or have similar experience.

I have experience around cattle but have not been responsible for their general care.

I have no experience with cattle.

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.

Please check all of the following experience you have identifying or treating illness in cattle.

I have identified illness symptoms in cattle.

I have treated illness in cattle.

I have none of the experience listed above.

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.

What experience do you have with the general care of swine? Examples include raising, feeding, administering medication, and showing.

I have been responsible for the general care of swine on a corporate swine farm, in a vet clinic, or have similar experience.

I have been responsible for the general care of swine on a personal swine farm or have similar experience.

I have exhibited swine in a livestock show or have similar experience.

I have experience around swine but have not been responsible for their personal care.

I have no experience with swine.

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.

Please check all of the following experience you have identifying and treating illness in swine.

I have identified illness symptoms in swine.

I have treated illness in swine.

I have none of the experience listed above.

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.

What experience do you have with the general care of equine? Examples include raising, feeding, administering medication, and showing.

I have been responsible for the general care of equine on a corporate equine ranch, stable, in a veterinary clinic, or have similar experience.

I have been responsible for the general care of equine on a personal equine ranch or have similar experience.

I have exhibited equine in a livestock show.

I have experience around equine but have not been responsible for their care.

I have no experience with equine.

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.

Please check all of the following experience you have identifying or treating illness in equine.

I have identified symptoms of illness in equine.

I have treated illness in equine.

I have none of the experience listed above.

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.

Please check all of the following livestock equipment you have experience using.

Head gates

Panels

Chutes

Livestock trailer

I have none of the experience listed above.

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.

What is your experience with livestock markets?

I have worked at a livestock market or have similar experience.

I have sold livestock at a livestock market or have similar experience.

I am familiar with livestock markets but have no experience participating in one.

I have no experience with livestock markets.

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.