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Human Capital Management
#181128-X35A-22


Supplemental Questionnaire

Last Name First Name
 
 

Do you have any of the following?

one year of experience in instructing/directing a community service or recreational program
thirty (30) semester hours of college coursework
a combination of experience in instructing/directing a community service or recreational program AND college coursework that totals one year
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.


1.

What experience do you have planning, organizing, and conducting various leisure or physical education activities?

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. 

2.

What experience do you have preparing scheduled events and insuring that the required equipment and other materials are in place?

Performing this task was a major part of my job on a regular basis.
Performing this task was a major part of my job with partial supervision on a regular basis.
Performing this task was a minor part of my job duties on a regular basis.
Performing this task was not part of my job duties.
 

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. 

3.

What experience do you have planning and directing group activities aimed at developing appropriate group interaction behavior and a sense of team work and fairness?

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. 
4.

What experience do you have using interpersonal communication skills and cooperation to ensure that order and discipline are maintained during recreation periods?

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. 

5.

What experience do you have supervising, coaching, instructing, or facilitating indoor and outdoor team and athletic events or activities?

Performing this task was a major part of my job duties on a regular basis.
Performing this task was a major part of my job with partial supervision on a regular basis.
Performing this task was a minor part of my job duties on a regular basis.
Performing this task was not part of my job duties.
 

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. 

6.

What experience do you have participating in the maintenance, procurement and selection of athletic equipment, facilities, supplies and other materials for leisure-time activities and physical education programs?

Performing this task was a major part of my job duties on a regular basis.
Performing this task was a major part of my job with partial supervision on a regular basis.
Performing this task was a minor part of my job duties on a regular basis.
Performing this task was not part of my job duties.
 
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 experience do you have with conflict resolution with consumers and co-workers?

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. 
8.

What experience do you have facilitating, leading, and communicating group activities?

Performing this task was a major part of my job duties on a regular basis.
Performing this task was a major part of my job with partial supervision on a regular basis.
Performing this task was a minor part of my job duties on a regular basis.
Performing this task was not part of my job duties.
 

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. 

9.

What experience do you have creating and implementing new recreational programs?

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.