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Human Capital Management
#181108-E36B-10


Supplemental Questionnaire

Last Name First Name
 
 
Do you have one year of experience in the operation and maintenance of microfilm, microphotography or other optical imaging equipment?
Yes No

 
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 is your experience in analyzing documents to determine the method to be used in preparing it for optical imaging?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

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

2.

What is your experience in maintaining set quality control standards of optical images?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

Please list the employer and job title or school and location 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 with editing optical images as needed and maintaining records for identification?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

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

4.

What is your experience in maintaining logs of documents received?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

Please list the employer and job title or school and location 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 sorting optical imaging materials as to content, noting missing materials from sequence, and making necessary records for correct placement?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

Please list the employer and job title or school and location 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 with operating an industrial high speed scanner/printer?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

Please list the employer and job title or school and location 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 with checking scanned images for clarity, legibility, placement, position, and accuracy?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

Please list the employer and job title or school and location 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 with performing preventative maintenance on optical imaging equipment?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

Please list the employer and job title or school and location 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 in maintaining files and records of optically imaged materials?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

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

10.

What is your experience in ensuring original documents are preserved and that fragile documents are handled carefully?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

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

11.

What is your experience maintaining inventory of equipment and supplies?

I have maintained inventory of optical imaging equipment and supplies.
I have maintained inventory of other equipment and supplies.
I have not maintained inventory of equipment and supplies.
 

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

12.

What experience do you have protecting privacy and ensuring confidentiality of information encountered during analysis, preparation, quality control, and indexing of scanned paperwork?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

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

13.

What experience do you have preparing paperwork to be scanned?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

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

14.

What experience do you have using a copier to reproduce or repair damaged paper work when preparing documents for scanning?

I have performed this task as a regular part of my job.
I am familiar with this task or have received some training in it.
I have no experience or training in the performance of this task.
 

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

15.

Do you have experience training employees in the operation of industrial high speed scanners/printers?

Yes
No
 

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