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Human Capital Management
#170928-Z20B-38


Supplemental Questionnaire

Last Name First Name
 
 

Do have any of the following?

one year of experience in a commercial or institutional food service
one year of vocational or technical school training in food preparation
a combination of vocational or technical school training in food preparation AND experience in a commercial or institutional food service that totals one year
none of the above
 

What experience do you have preparing food in a commercial or institutional food service environment?

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 supervision.
I have not yet performed this task on the job but I have had education or training on it.
I have no experience with this task.
 

Please list the school or 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. 

 

What experience do you have ordering food for a commercial or institutional food service kitchen?

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 supervision.
I have not yet performed this task on the job but I have had education or training on it.
I have no experience with this task.
 

Please list the school or 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. 

 

What experience do you have baking desserts such as cakes, pies, or breads?

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 supervision.
I have not yet performed this task on the job but I have had education or training on it.
I have no experience with this task.
 

Please list the school or 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. 

 

What experience do you have preparing foods using tools such as knives, slicers and peelers?

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 supervision.
I have not yet performed this task on the job but I have had education or training on it.
I have no experience with this task.
 

Please list the school or 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. 

 

 

Check all of the following equipment with which you have experience using.

fryer
grill
convection oven
combination oven
steam pot
skillet
steam table
commercial toaster
coffee urn
I have no experience with any of the equipment listed.
 

Please list the school or 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. 

 

What experience do you have following written diet orders and restrictions?

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 supervision.
I have not yet performed this task on the job but I have had education or training on it.
I have no experience with this task.
 

Please list the school or 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. 

 

What experience do you have operating a commercial dishwasher or hand washing pots, pans, dishes, silverware and other cooking or baking utensils?

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 supervision.
I have not yet performed this task on the job but I have had education or training on it.
I have no experience with this task.
 

Please list the school or 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. 

 

What experience do you have labeling, loading and delivering food carts or trays?

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 supervision.
I have not yet performed this task on the job but I have had education or training on it.
I have no experience with this task.
 

Please list the school or 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. 

 

What experience do you have defrosting and cleaning refrigerators, walk-in coolers, ice makers, drink dispensers, grills, grease traps, vent hoods and related 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 supervision.
I have not yet performed this task on the job but I have had education or training on it.
I have no experience with this task.
 

Please list the school or 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.