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Human Capital Management
#170928-I51A-04


Supplemental Questionnaire

Last Name First Name
 

 

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.

What experience do you have evaluating the job performance of offenders or employees?  Check all that apply.

I have evaluated the job performance of offenders.
I have evaluated the job performance of employees.
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 overseeing the use of equipment and supplies in accordance with operating guidelines and safety standards?

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 under some supervision as a regular part of my job.
I have had classes or training on this task but have not yet performed it on the job.
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. 

3.

What is your experience in doing preventative or routine maintenance on vehicles?

I am considered an expert at this task and have performed it as a regular part of my job. Other workers ask me to assist on this task because of my experience.
I have performed this task as a regular part of my job. My work was subject only to general review by a supervisor or senior employee.
I have had training in this task, but I have not performed this type of task as a regular part of my job.
I have not had training or experience in performing 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. 

4.

What is your experience driving a semi-tractor/trailer?  Check all that apply.

I have driven a semi-tractor/trailer on two-lane highways.
I have driven a semi-tractor/trailer off roads.
I have driven a semi-tractor/trailer on city streets.
I have driven semi-tractor/trailer on the Interstate.
I have not driven a semi-tractor/trailer as a regular part of my job.
 

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. 

5.

Please check all of the following trailers with which you have experience.

Van trailer
Refrigerated trailer
Box truck
Lowboy trailer
I have no experience with any of these types of trailers.
 

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. 

6.

What is your experience planning routes as a semi-tractor/trailer driver?

I am considered an expert at this task and have performed it as a regular part of my job. Other workers ask me to assist on this task because of my experience.
I have performed this task as a regular part of my job. My work was subject only to general review by a supervisor or senior employee.
I have had training in this task, but I have not performed this type of task as a regular part of my job.
I have not had training or experience in performing 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. 

7.

What is your experience securing equipment for transport?

I am considered an expert at this task and have performed it as a regular part of my job. Other workers ask me to assist on this task because of my experience.
I have performed this task as a regular part of my job. My work was subject only to general review by a supervisor or senior employee.
I have had training in this task, but I have not performed this type of task as a regular part of my job.
I have not had training or experience in performing 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. 

8.

What is your experience unloading and loading heavy equipment, equipment, or supplies?

I am considered an expert at this task and have performed it as a regular part of my job. Other workers ask me to assist on this task because of my experience.
I have performed this task as a regular part of my job. My work was subject only to general review by a supervisor or senior employee.
I have had training in this task, but I have not performed this type of task as a regular part of my job.
I have not had training or experience in performing 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. 

9.

What experience do you have reading, interpreting and following detailed instructions?

I have performed this task independently.
I have performed this task under supervision.
I am familiar with this task or have received some training or education 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. 

10.

What experience do you have conveying detailed instructions to others?

I have performed this task independently.
I have performed this task under supervision.
I am familiar with this task or have received some training or education 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. 

11.

What experience do you have preparing written reports and managing required documents?

I have performed these tasks as part of my job on a regular basis.
I have performed these tasks as part of my job occasionally.
I am familiar with these tasks or have received some training on them.
I have no experience with these tasks.
 

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. 

12.

What is your experience providing customer service to the public?

I have performed this task independently.
I have performed this task under supervision.
I am familiar with this task or have received some training or education 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.