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Human Capital Management
#181024-H20B-11


Supplemental Questionnaire

Last Name First Name
 
 

Do you have any of the following?

a master's degree
a bachelor's degree education AND one year of experience in professional social work
a combination of college coursework and professional level social work experience that totals five (5) years
none of the above

 
STOP! You have completed the required screening questions for this Job Family.  Please verify 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 in lieu of a written exam.

1.

What experience do you have arranging referrals and collaborations with social service agencies for individuals in need?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some education/training on it.
I have no experience with this task.
 

Please list the school 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 in assessing the needs of individuals and determining eligibility for specific programs?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some education/training on it.
I have no experience with this task.
 

Please list the school 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 in developing a plan for individuals to eliminate barriers to successful and independent living?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some education/training on it.
I have no experience with this task.
 

Please list the school 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 in caseload principles and practices and ensuring compliance with federal and state regulations, or organizational policies and procedures?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some education/training on it.
I have no experience with this task.
 

Please list the school 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 in coordinating or consulting with team members to develop and execute shared goals?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some education/training on it.
I have no experience with this task.
 

Please list the school 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 is your highest level of experience regarding managing caseloads?

I have trained other professionals to manage a caseload and coordinate service delivery.
I have effectively managed a caseload and coordinated service delivery with others.
I have effectively managed a caseload.
I have no experience with this task.
 

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. 

7.

What is your experience documenting your ongoing work activities?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some education/training on it.
I have no experience with this task.
 

Please list the school 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 conducting interviews?

I have performed this task independently as a regular part of my job.
I have performed this task under supervision as a regular part of my job.
I am familiar with this task or have received some education/training on it.
I have no experience with this task.
 

Please list the school 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.