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Human Capital Management
#170927-E16C-107


Supplemental Questionnaire

Last Name First Name
 
 

Do you have any of the following?

two (2) years of clerical office experience
completion of sixty (60) semester hours from a college or university
a combination of college coursework, technical or vocational training and clerical office experience that totals two (2) years
none of the above

 

OK Department of Human Services (DHS) requires that the following questions be answered before continuing with the application.


1.

Do you have legal status to work in the United States?

Yes No
2.

Have you had a protective order entered against you pursuant to the Oklahoma
Protection from Domestic Abuse Act or a similar statute of another state? 

If yes, provide the name of the court and court number in the text area:

If no, please enter No in the text area:            

3.

DHS policy does not allow some family members to be employed within the same supervisory group or unit. Please list the names of all of your relatives now employed by DHS:

If no, please enter No in the text area:

4.

Have you ever been terminated or resigned from employment in lieu of being terminated?  
If yes, explain circumstances:      

If no, please enter No in the text area:


 

ATTENTION!

 Please verify that 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 purposes, in lieu of a written exam.


1.

Please check all of the following filing experiences you have.

Indexing scanned documents
Maintaining electronic files
Maintaining paper files
Maintaining confidential files
Maintaining alphabetical files
Maintaining numeric files
I have no experience with this task.
 

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

2.

What experience do you have preparing correspondence, forms, and reports?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

3.

What experience do you have initiating and handling correspondence relating to a special field or program in regards to agency or program rules, policies, procedures, or requirements?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
4.

What experience do you have performing sorting and filing tasks?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

5.

What experience do you have answering phones, taking messages, and disseminating information?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

6.

What experience do you have opening, sorting, distributing, collecting, and delivering mail?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
7.

What experience do you have posting and recording data?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
8.

What experience do you have entering and retrieving information using a personal computer or other data processing equipment?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 

9.

What experience do you have coding data (translating literal information to established codes)?  Example:  when applying for state jobs, the code for Oklahoma County is 55.

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 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 proofing previously entered data and making routine corrections?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 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 examining, checking, and verifying reports and other documents for completeness, appropriateness, adequacy and conformity to established reqirements, and following up on discrepancies?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 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 maintaining an inventory of equipment and supplies used in office or shop operations?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 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 assisting customers in securing needed information and documents?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 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 conducting interviews to obtain information from clients?

I have supervised others performing this task.
I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
15.

What experience do you have planning, organizing, and managing your own work?

I have performed this task independently as a regular part of my job.
I have performed this task as a regular part of my job with some 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 where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
16.

Please check all of the following experience you have using Microsoft Word or a similar word processing software.

Creating written documents
Creating mail merge documents
Creating forms
Creating tables
Creating labels
Using existing templates
I have no experience with any of the above.
 
Please list the employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
17.

Please check all of the following experience you have using Microsoft Excel or a similar spreadsheet software.

Entering data into an existing spreadsheet
Creating new spreadsheets
Creating formulas, charts or graphs in a spreadsheet
I have none of the experience listed above.
 
Please list the employer and job title where you gained your experience as indicated in the response above.  If you indicated "no experience", then please type N/A below. 
18.

Please check all of the following experience you have using Microsoft PowerPoint or a similar presentation software.

Creating new presentations
Modifying existing presentations
Customizing presentations or using linked or embedded files in presentations
I have none of the experience listed above.
 

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


 

Please make sure that you attach all requested documents to your application, if requested.  Resumes should be attached to the "Resume" tab and any other requested documents to the "Other" tab.