Official SealHuman Resource Services Department


#16-0308-01
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.

Please describe the relevant HIV or STD programmatic experience you possess which qualifies you for this recruitment. In your response, include the specific STD or HIV programs you have experience working with, the employer where you gained the experience, and the duration of the relevant experience listed (years/months).

2.

Please describe your experience planning and evaluating STD or HIV programs. In your response please describe the programs you were responsible for planning and evaluating. Please be specific and descriptive in your response (i.e. indicate target population, dates, your role, who you reported to, etc.).

3.

Describe your most challenging experience in which you participated, or led, a strategic planning process that involved multiple stakeholders, including CBO’s, community members or other groups. Please provide a specific example. Describe the situation, your efforts to engage other groups, and the outcome.

4.

Describe a recent project you were assigned which required that you supervise or lead staff.  Describe the scope of the project and the job titles of the staff you led or supervised.  Describe the steps you took in assigning tasks to the staff and in monitoring their work.  What was the outcome of the project?

5.

Please describe a specific example from your professional work experience which demonstrates your ability to locate, obtain, and manage grants. What steps did you take to locate the grant(s) and how successful were you in obtaining those grants once located?  What role(s) did you play in preparing the grant proposals? What were some of the specific grant requirements, and what steps did you take to ensure that those requirements were met? Please provide specific information as to the amount and purpose of the grant. In your response, include your job title, name of the employer and dates of employment.


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