The minimum requirements for Juvenile Institutional Officer I are described in the bulletin that announced this examination.

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1 Alameda County Human Resource Services Department JUVENILE INSTITUTIONAL OFFICER I (PROMOTIONAL) Training and Experience Questionnaire INSTRUCTIONS: Please read all of these instructions carefully before applying for this position and before filling out this questionnaire. This is important because you may not be considered for the position if these instructions are not followed. Your responses to these questions will be used to evaluate your education and experience in areas related to duties performed by Juvenile Institutional Officers. There will be no further examination steps. If you meet the minimum qualifications for this position, this evaluation will be used to determine where you will be placed on the Juvenile Institutional Officer I (Promotional) eligible list. The minimum requirements for Juvenile Institutional Officer I are described in the bulletin that announced this examination. If you meet the minimum requirements for the position, you will be placed on the eligible list but applicants will be considered for actual vacancies in descending order of their placement. Since placement on the list will be determined by your responses to this questionnaire, care should be taken in completing it. The following information relates to mistakes that are commonly made in preparing application materials. These mistakes almost always result in reduced placement on the eligible list. In the worst case, they can result in not being accepted into the examination at all. 1. Read the entire Training and Experience Questionnaire before responding to it. Answer the questions accurately and fully. Include all of the requested information in your responses. Do not leave relevant training, education or experience out; credit cannot be given for education or experience not included in your responses. Answer each question in the space provided. If more space is needed to respond to any question or any section of this questionnaire, insert additional pages, following the questionnaire format. Insert additional pages within the appropriate section(s) of the questionnaire. Be sure to indicate the area of education or experience to which additional pages refer. 2. DO NOT attempt to incorporate information by making reference to your application for this position or to your resume. Those who evaluate your questionnaire will not have those documents available to them. 3. Responses should be printed or typed and in all cases, legible. Credit cannot be given for responses that are vague, imprecise or illegible. With the exception of the space below (in which your Social Security Number should be placed) and the last page, do not write your name or any other identifying mark anywhere on this questionnaire or on your responses to it. 4. Before submitting this questionnaire, read the information found on the last page, date and sign it in the spaces indicated. Unsigned or undated questionnaires will not be considered. (Because an original signature is required, it will not be possible for you to file this questionnaire electronically. It must be delivered by regular mail or courier, or presented in person at our office at 1405 Lakeside Drive, Oakland, CA by the last day for filing.) 5. In order to be considered for this examination, applications and questionnaires must be in the physical possession of the Alameda County Human Resource Services Department absolutely no later than 5:00 PM (current Pacific Time) on the last day for filing. Postmarks are not accepted. Please write your Social Security Number here:

2 I. Education and Training In this section, list all training and education you have had that is relevant preparation for this position. Include all information requested. We will not be able to give you credit for incomplete or partially completed entries. A. Undergraduate Education Indicate successful completion of course work from an accredited college or university that which could be used toward an associate s or bachelor s degree and provide knowledge and/or skills required for this position. If you have earned a degree, please indicate AA/AS/BA or BS. Name of Institution Date Attended Area of Study Number of Units Degree and location From To Completed* Y/N * Indicate Semester or Quarter Units. If more space is needed to describe your education and training, continue on a separate page. Insert additional pages within the appropriate section of this questionnaire. Use the format used here and include all information requested. B. Non-Degree Related Education or Training Indicate successful completion of training courses in fields applicable to the position of Juvenile Institutional Officer I. Include classes provided by present or previous employer or by a training facility in connection with present or previous employer. Name of Institution Date Attended Area of Study Number of Units and location From To Completed (if applicable)

3 Name of Institution Date Attended Area of Study Number of Units and location From To Completed (if applicable) If more space is needed to describe your education and training, continue on a separate page. Insert additional pages with the appropriate section of this questionnaire. Use the format used here and include all information requested. II. EMPLOYMENT HISTORY In this section, list each job you have had that provided you with experience that is relevant preparation for this position. If you had more than one relevant position with the same employer, list each one separately. For each job listed, YOU MUST include ALL of the information requested. We will not be able to give you credit for this experience unless all of this information is provided.

4 Job Number 1 Employer Name and full address: Your job title: Hours worked per week:

5 Job Number 2 Employer Name and full address: Your job title: Hours worked per week:

6 Job Number 3 Employer Name and full address: Your job title: Hours worked per week:

7 Job Number 4 Employer Name and full address: Your job title: Hours worked per week: Total number of months employed:

8 Job Number 5 Employer Name and full address: Your job title: Hours worked per week: If more space is needed to describe your employment history, continue on a separate page. Insert additional pages with the appropriate section of this questionnaire. Use the format used here and include all information requested.

9 Juvenile Institutional Officer I (Promotional) Examination Number Training and Experience Questionnaire Please read the following certification and then sign and date it in the spaces provided. By your signature you acknowledge that you have read and understand the certification and that its content is true, and correct. Please read the following certification and then sign and date it in the spaces provided. By your signature you acknowledge that you have read and understand the certification and that its content is true and correct. The undersigned hereby certifies that CERTIFICATION OF APPLICANT 1. The information contained in this questionnaire is true and correct. And 2. That s/he understands that misstatements or omissions of material fact in this questionnaire will result in his/her disqualification from this examination and may result in forfeiture of entitlement to employment in the service of Alameda County. Signature: Date:

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