Official SealHuman Resource Services Department


#17-1573-01
Supplemental Questionnaire

Last Name
First Name

 

As stated in the examination announcement for this position, a properly completed Supplemental Questionnaire must be submitted with an application. Failure to submit the Supplemental Questionnaire will result in disqualification.

 

All experience detailed in the Supplemental Questionnaire should clearly tie back to the "Work Experience" or if applicable, the “Education and Training” sections of the application.

Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by the filing date deadline in order to be considered for this recruitment.

 

The purpose of this questionnaire is for you to identify your qualifications and experience in job-related areas.  It is critical that you fill out the Supplemental Questionnaire completely, listing all education, experience or special training which might demonstrate your qualifications. Responses should be thorough and specific.  Clarity of expression, 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 a properly completed application and accompanying Supplemental Questionnaire.


 

Please check each box that you believe qualifies you for the position of Eligibility Services Technician IV.

I possess the equivalent of one year of full-time experience in the class of Eligibility Technician III or Eligibility Services Technician III in the Alameda County classified service.
I possess two years full-time and recent (within the last three years) experience in a position experience in a position that required determining eligibility and computing budgets for multiple public assistance programs at a level comparable to that of Eligibility Services Technician III in the Alameda County classified service
 

Please briefly describe your work experience performing case management for public assistance program applicants or recipients in an automatic case management system.  Include in your response a brief description of the automated case management system utilized and the number and types of public assistance programs for which you were required to determine eligibility and compute budgets.

 

Do you have a valid California Driver’s license? (Please ensure that you have listed the correct expiration date on the "Profile" section of the application.)

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