offical seal
Placer County Human Resources Department
#2024-13645-01


Supplemental Questionnaire

Last Name First Name
 

 

Health and Human Services Program Manager

(Adult System of Care)

Supplemental Questionnaire

2024-13645-01

This is the supplemental questionnaire for the classification of Health and Human Services Program Manager. Part I will not be scored or used for determining minimum qualifications but is provided for the applicant to review prior to completing the questionnaire. Part II will be scored based on your checked responses. Narratives provided by applicants describing training and/or experience will not be scored but will be available to the hiring authority and may be utilized for interview and selection determinations.

By continuing in this examination process, you are certifying that all information provided in the supplemental questionnaire is true to the best of your knowledge. If selected for an interview, you may be required to display and respond to questions to validate your responses to this exam.

NOTE: Resumes, letters, and other materials will not be evaluated or considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.


 

I have read and understood the above instructions.


 

PART I: TRAINING & EXPERIENCE (NON-SCORED)

Your responses to Part I will not be scored, but may be used to assist in reviewing how applicants meet the minimum and/or preferred qualifications.


1.

Do you possess five years of increasingly responsible clinical and/or administrative experience in a health or human services agency, including at least two years of supervisory responsibility?

Yes No
2.

Do you possess a Bachelor's degree from an accredited college or university?

Yes No

 

PART II: RELEVANT KNOWLEDGE AND EXPERIENCE (SCORED)

This section of the supplemental questionnaire is the Civil Service examination for this position. This supplemental questionnaire will be scored based on your checked responses below. Scores received from this section will determine applicant ranking and placement on the eligible list.

For the items in this section, please indicate your level of training and experience and then provide a brief description of your related experience in the space provided.

Resumes, letters, and other materials will not be evaluated nor considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.


1.

Describe your experience representing your department and/or assigned program(s) to other organizations including the State, community groups, the general public, etc.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below. If you do not have any experience, please enter "no experience."

2.

Describe your experience managing projects that have had an organization-wide impact within a Health and/or Human Services Agency.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
3.

Describe your experience supervising and/or managing staff performing duties related to Health and/or Human Services Agency programs.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below. If you do not have any experience, please enter "no experience."

4.

Describe your experience collaborating with appropriate departments, programs, and work units to secure advice, resources, and technical services.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below. If you do not have any experience, please enter "no experience."

5.

Describe your experience administering record keeping and functions to ensure compliance with state mission, goals, regulations, and guidelines.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below. If you do not have any experience, please enter "no experience."

6.

Describe your experience administering contracts for service providers, evaluating contract compliance and the quality of service.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
7.

Describe your experience monitoring and controlling expenditures and presenting justification and evidence in support of requests for additional program resources.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below. If you do not have any experience, please enter "no experience."

8.

Describe your experience participating in budget preparation and administration for assigned program(s).

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
9.

Describe your experience planning and implementing assigned client services through multi-disciplinary and multi-agency programs that include public, private, and contract agencies/providers.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
10.

Describe your experience managing performance utilizing the following tools: Daily feedback, performance evaluations, verbal and written documented counseling, performance improvement plans, and/or written reprimand.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
11.

Describe your experience motivating staff to stay connected with the Health and/or Human Services Agency's mission and vision.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below. If you do not have any experience, please enter "no experience."

12.

Describe your experience attending State meetings and interpreting regulations as applied to workload.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below. If you do not have any experience, please enter "no experience."


 

Thank you for completing the examination portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.

Please Save & Continue to move forward to the next tab. 

Be sure to select the "Submit" button once the application has been completed.  You will receive confirmation that the application has been submitted.  

A notice of your status will be sent to you.