	Human Capital Management

	#170711-U14A-01
	Supplemental Questionnaire


Last Name	First Name

Do you have a Bachelors degree in Historic Preservation, History, or Architectural History and one year of related experience?

Yes No

STOP! You have completed the required screening questions for this Job Family. Please verify you meet the education and experience requirements listed in the job bulletin before completing the following supplemental questionnaire. The questions below will be used for scoring in lieu of a written exam.

What is your experience preparing successful National Register of Historic Places nominations within the last ten years? (Note: A successful nomination is one that was accepted by the Keeper of the National Register for listing the property.)

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

What is the highest level of experience you have designing research projects?

I have independently designed research projects.

I have participated in the design of research projects.

I have never designed or participated in the design of a research project.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

How many college credit hours have you earned in architectural history?

Thirteen or more credit hours

Seven to twelve credit hours

Three to six credit hours

None

Please list the course titles, school, and number of credit hours where the experience was attained as indicated in the response above. If you indicated "no experience", then please write N/A below.

What experience do you have giving public presentations on topics related to the preservation of historic resources?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

What experience do you have analyzing complex situations and adopting appropriate courses of action?

I have performed this task independently as a regular part of my job.

I have performed this task under supervision as a regular part of my job.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

What experience do you have conducting multiple tasks simultaneously and meeting firm deadlines for those tasks?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

What experience do you have preparing written correspondence?

I have written correspondence as a regular part of my job. My work was not subject to supervisor review.

I have written correspondence as a regular part of my job. My work was subject to supervisor review.

I am familiar with this task or have received some training on it.

I have no experience with letter writing.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

What experience do you have reading and understanding governmental regulations and guidelines?

I have performed this task without supervision as a regular part of my job.

I have performed this task under supervision as a regular part of my job.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

What experience do you have maintaining files and records?

I have performed this task independently as a regular part of my job.

I have performed this task under supervision as a regular part of my job.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

10.

What experience do you have preparing and writing technical reports in accordance with the Secretary of Interior’s Standards and Guidelines for Identification?

I have written technical reports independently.

I have written technical reports with some assistance.

I am familiar with this task or have received some training on it.

I have no experience with technical report writing.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

11.

What experience do you have analyzing and interpreting documents?

I have performed this task independently.

I have performed this task with assistance.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

12.

What experience do you have preparing complex reports, project plans, applications and other materials with accuracy and completeness?

I have performed this task independently.

I have performed this task under supervision.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

13.

What experience do you have performing archival, architectural, or historic surveys?

I have performed this task independently as a regular part of my job.

I have performed this task under supervision as a regular part of my job.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

14.

What experience do you have evaluating proposals submitted for consultant services?

I have performed this task independently as a regular part of my job.

I have performed this task under supervision as a regular part of my job.

I am familiar with this task or have received some training on it.

I have no experience with this task.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.

15.

Please check all the computer programs with which you have experience.

Microsoft Excel or other spreadsheet programs

Microsoft Word or other word processing programs

Microsoft Access or other database programs

Geographic Information Systems (GIS) or other mapping programs

Microsoft Outlook or other email programs

I have no experience with any of these computer programs.

Please list the employer and job title or school and location where you gained your experience as indicated in the response above. If you indicated "no experience", then please type N/A below.