Official SealHuman Resource Services Department


#16-5647-01
Supplemental Questionnaire

Last Name
First Name
 

Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process. Additionally, your responses will also be evaluated and used in the selection process in order to identify the best qualified applicants. 

Responses should be thorough and specific.  A lack of detail and explanation in the supplemental questions and in your application may result in failure or disqualification for this position.  Clarity of expression, content, experience, grammar, spelling and the ability to follow instructions will be considered in the evaluation process.  A resume will not be accepted as a substitute for properly completed responses.

Information provided in your responses to the supplemental questionnaire regarding your employment experiences must also be detailed in the Work Experience section of the application for this recruitment.  Please be sure to list all employers and required information, on your application, especially if you are referencing those employers in your responses to the supplemental questions.

The supplemental questions were designed to elicit your experience as it relates to the current recruitment in order to identify the best qualified candidates for this position.  Only the best and most suitably qualified candidates will be invited to participate in the oral interviews. 

By selecting yes below, you certify your understanding that all applicants who meet minimum qualifications are not guaranteed to move forward in the process.  Do you understand the above statement?

Yes No
1

Do you possess a high school diploma or GED equivalent AND the equivalent of one year of full-time experience performing maintenance work in an industrial setting

Yes No
2

Do you possess a valid (for the past 3-years) Class C California Motor Vehicle Operator's license?

Yes No
3

Please describe your experience working with the general public.

4

Please list any training you have completed and certifications and/or licenses you hold regarding maintenance, hazardous materials and/or hazardous waste. In your response, please indicate the institution, dates, and applicable courses.

5

Describe your experience in the use of materials handling equipment, and packaging such as  drums, containers, etc.

6

Describe your background/experience working with chemicals and or Hazardous waste.  Do you have any verifiable experience working at a Hazardous waste facility or Household Hazardous waste one day events? If so please include the dates, locations, and the program or employer.

7

This position may require the use of a respirator.  Have you ever been medically cleared and fit tested  for respirator use?  If not are you willing and able to go through a fit test to use a respirator?

Yes No
8

If you have used a respirator before please describe your experience wearing a respirator in a work setting and specify the type(s) and the hazards.  Include the date of your most recent fit test.

9

This position requires the ability to lift up to 50 pounds in the course of unloading hazardous waste from cars and light trucks.  Are you able to reach and flex in the course of moving and lifting up to 50 pounds safely?

Yes No
10

This position requires working outside in all types of weather conditions.  Are you able and willing to work outside in all types of weather conditions?

Yes No
11

These positions require working on all Saturdays and some Sundays  Are you able and willing to do so?

Yes No
12

You may drive a motor vehicle for periods up to 1 hour on a regular basis.  Are you able and willing to do so?

Yes No

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