Official SealHuman Resource Services Department


#17-1145-01
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

Describe your experience supervising administrative functions specifically in a health care organization where you were required to work in compliance with various policies, Federal, State and local rules and regulations.  In your response, be sure to include the name of the organization, your employment dates (specify the duration performing these duties), your title, the number and title of those you supervised, and a description of your primary duties.

2

Please describe your experience providing administrative, operational and/or procedural oversight for each of the areas below.  In your response, be sure to include the employer name, employment dates (specify the duration performing these duties), and your title:

• Space planning
• Report preparation/writing
• Collecting and maintaining data/information from a variety of sources 
• Contracting and/or purchasing activities

3

Please describe the most complex, time sensitive project OR the most complex building maintenance project you have worked on.  In your response, please include the employer name, employment dates (specify the duration performing these duties), your title, and the following:

• The purpose of the project
• Your specific role and responsibility
• How your role impacted others in department/unit/organization 

4

Please describe a task or project in which you were responsible for gathering information from a variety of sources in order to provide a report to management.  In your response, please include the employer name, employment dates (specify the duration performing these duties), your title, and the following:

• The type of information you were required to gather
• The steps you took or the process you followed to gather the information
• What format you chose to present or report the information to management 

5

Describe your experience in directing, managing or supervising staff and related resources.  In your response, highlight any relevant experience assigning work, training, coaching, orienting and/or evaluating staff.

 

6

Please describe your experience in handling sensitive or confidential information that others were not privy to.  In your response, please include the name of your employer, dates of employment, your job title and the following:

• The nature of the information (i.e., medical records, performance evaluations, disciplinary actions, law suits, etc.)
• How/why you were privy to the information, your role in handling the information, and the consequence should the information not be maintained as confidential


E-mail | Phone: (510) 272-6471 | 8am - 5pm M-F | Powered by JobAps