	Human Capital Management

	#181128-R20C-04
	Supplemental Questionnaire


Last Name	First Name

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.

What is your experience conducting air, water, soil, or other environmental inspections and investigations?

I have performed this task independently and have supervised others performing this task.

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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

Please check all of your experience with investigative findings or reports.

I have experience evaluating investigative findings.

I have experience summarizing investigative findings.

I have experience documenting investigative findings.

I have experience presenting investigative findings.

I have supervised others performing these tasks.

I have no experience with investigative findings.

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 collecting or analyzing environmental samples?

I have performed this task independently and have supervised others performing this task.

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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

Please check all experience you have with federal or state laws and regulations that relate to agriculture and environmental protection.

I have experience interpreting federal or state laws and regulations.

I have experience following federal or state laws and regulations.

I have experience advising on federal or state laws and regulations.

I have experience implementing federal or state laws and regulations.

I have experience writing federal or state laws and regulations.

I have no experience with any of these tasks.

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 writing technical reports based on data, observations, or other supporting documentation?

I have supervised others writing technical reports.

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

I have written technical reports for a college course.

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

I have no experience with technical 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.

What is your experience researching, developing, or assisting in the implementation of long term planning for efficient use of air, water, or land resources?

I have performed this task independently and have supervised others performing this task.

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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

What is your experience analyzing and interpreting resource data, and summarizing results?

I have performed this task independently and have supervised others performing this task.

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some 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.

What experience do you have establishing and maintaining partnerships with agencies, public facilities, organizations, or customers from a variety of cultures?

I have performed this task independently and have supervised others performing this task.

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some 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.

What is your experience providing response to natural disasters or emergencies related to hazardous materials, spills, or releases?

I have performed this task independently and have supervised others performing this task.

I have performed this task independently as a regular part of my job.

I have performed this task as a regular part of my job with some supervision.

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

Please check all participation you have had in meetings, conferences, training classes or seminars on environmental related issues.

I have attended meetings, conferences, training classes or seminars on environmental related issues.

I have made poster presentations at meetings, conferences, training classes, or seminars on environmental related issues.

I have made audience presentations at meetings, conferences, training classes, or seminars on environmental related issues.

I have organized, developed, or coordinated conferences, training classes or seminars on environmental related issues.

I have not participated in any meetings, conferences, training classes or seminars on environmental related issues.

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 applications with which you have experience working.

Microsoft Word or similar word processing software

Microsoft PowerPoint or similar presentation software

Microsoft Excel or similar spreadsheet software

Microsoft Access or similar database software

Microsoft Outlook or similar email program

The Global Positioning System (GPS) receivers or applications or Geographical Information System (GIS)

I have no experience with any computer software

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.