Official SealHuman Resource Services Department


#17-5320-01
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 experience you possess in the following nursing field services; serving clients across the lifespan, operating immunization clinics, participating in jail inspections, and other similar field service activities. Additionally, describe your experience working with multi-cultural high-risk, disabled, elderly and other special needs clients.

2.

Tell us about a work experience that best demonstrates your ability to help strategically solve problems presented to you by management or other nursing staff.

3.

Working with people from diverse cultures or backgrounds can be a challenge.  Describe a time when you faced a challenge adapting to a person from a different culture or background. Describe the situation, what made it challenging, and how you overcame the challenges faced.

4.

How have you built, cultivated and maintained successful working relationships with internal staff and outside collaborators? Please provide a specific example for each.

5.

Please describe the personal traits you possess that give you an advantage in executing a leadership role. Describe a specific time when possessing these traits aided you in the supervision of staff. In your response, please include your title, the nature of the situation, and the outcome.

6.

Please provide a recent example of a recommendation you made to implement a protocol or policy to a diverse group of staff and clients for a nursing program. In your response, describe how you developed your recommendation, your role in initiating a plan of action for implementing the protocol or policy, the challenges you faced, and the result. 


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