	Human Capital Management

	#181126-I41A-07
	Supplemental Questionnaire


Last Name	First Name

Do you have a degree from an accredited college or university, with a major in psychology, sociology, criminal justice or related areas of study?

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.

Check the box that represents your highest level of education.

I have a Master's degree or higher.

I have a Bachelor's degree.

Please list the college or university where you gained your education as indicated in the response above.

What experience do you have researching and gathering information?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training or education 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.

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 email program

I have no experience with 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 have experience using computer programs not listed, please list them below. If you indicated "no experience", then please type N/A below.

What experience do you have using a computer to gather information and draft written documents?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training or education 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.

What experience do you have preparing and giving verbal presentations or conducting interviews?

I have made verbal presentations as a regular part of my job.

I have made verbal presentations in a college course.

I have no experience with 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.

What experience do you have planning, developing and organizing all phases of your own work?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training or education 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.

What experience do you have in mediation or conflict resolution?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training or education 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.

What is your highest level of experience in working as part of a team?

I have led a team or group project.

I have been a member of a team or group project.

I have never been a part of a team or group project.

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 is your experience providing customer service to the public?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training or education on it.

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.

10.

What experience do you have reading, interpreting and following detailed instructions?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training or education 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.

11.

What experience do you have preparing written reports?

I have written reports as a regular part of my job.

I have written reports for a college course.

I am familiar with this task or have received some training on it.

I have no experience with report writing.

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.

What experience do you have managing multiple tasks with deadlines?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training or education 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.