	Human Capital Management

	#181128-E13C-22
	Supplemental Questionnaire


Last Name	First Name

Do you have any of the following?

five (5) years of experience in sales, public contact work or customer service work, INCLUDING four (4) years of experience in customer service work, mail room operations or technical clerical work

one hundred fifty (150) semester hours of college coursework

a combination of experience in sales, public contact work or customer service work AND college coursework that totals five (5) years, INCLUDING four (4) years of experience in customer service work, mail room operations or technical clerical work

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.

What experience do you have providing services and information to customers?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have training staff?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have researching and filling requests for materials and information?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have preparing reports and sending copies to customers?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have reconciling discrepancies in billing?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have conducting and maintaining inventory?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have purchasing and receiving necessary materials?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have setting up informational displays?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have selling merchandise?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have maintaining a clean and safe work area?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have receiving customers or visitors?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have answering telephone calls in a professional capacity?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 the following equipment you have experience using.

postage meter machine

copier/printer

inserters

bindery machine

scanners

computers

e-mail programs

I have no experience with any of the above.

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 experience do you have interpreting and applying agency or organizational policies and procedures?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have developing procedures for the operation of daily activities?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have preparing mail and parcels for mailing with special services?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have sorting and distributing mail?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have operating scales and meters to determine proper postage?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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 experience do you have examining documents for correctness?

I have supervised others performing this task and I have performed this task as a regular part of my job.

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.