PLUMBER 2, CORRECTIONAL FACILITY (CF) Qualifications … · 2020-07-09 · PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 5 RATING INSTRUCTIONS Rate your knowledge - [PDF Document] (2024)

CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION WWW.CDCR.CA.GOV

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 1

PLUMBER 2, CORRECTIONAL FACILITY (CF) Qualifications Assessment

Department of Corrections and Rehabilitation

Departmental Open Examination Final Filing Date: Continuous

EXAMINATION INFORMATION

This examination will provide you with an opportunity to demonstrate significant aspects of your qualifications for the Plumber 2, CF classification with the California Department of Corrections and Rehabilitation (CDCR). The information you provide will be rated based on objective criteria created by Subject Matter Experts. The rating will be used to determine your final score in this examination. If successful, your name will be placed on an eligible list for the classification listed above. The list will be used to fill positions statewide with CDCR. A “Conditions of Employment” section is included in this examination which will allow you to select the time bases and location(s) you are interested in working. Please print out, personally complete, and sign this examination form. Read the instructions below carefully before completing the assessment. Failure to do so may result in an inability to process your assessment and disqualification from this examination.

AFFIRMATION STATEMENT

I hereby certify that the information provided on this Qualifications Assessment is true and correct to the best of my knowledge and contains no willful misrepresentations or falsifications. I also understand that if it is later discovered that I have made any false representations, I may be removed from the examination and/or the eligible list resulting from this examination, have adverse action taken against me which could result in loss of state employment, and/or suffer loss of right to compete in any future state examinations.

Name (Printed): ___________________________________________________________________________

Address: ________________________________________________________________________________

City/State/Zip Code: _______________________________________________________________________

Home Telephone Number: __________________________________________________________________

Work Telephone Number: __________________________________________________________________

Signature: _______________________________________________________________________________

Date: ____________________________________________________________________________________

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 2

FILING INSTRUCTIONS

All applicants must complete and submit the following examination materials:

Examination Application (STD. 678)

Qualifications Assessment By mail to: Department of Corrections and Rehabilitation Office of Workforce Planning P.O. Box 942883 Sacramento, CA 94283-0001

Or in person at: Department of Corrections and Rehabilitation 1515 S Street Sacramento, CA 95811-7243 Attn: Office of Workforce Planning, 211S If you are personally delivering your application and Qualifications Assessment, you must do so between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday, excluding holidays, on or before the cut-off date to the street address listed above. NOTE:

All examination materials must have original signatures.

Be sure your envelope has adequate postage if submitting via mail.

Faxed or emailed copies will NOT be accepted under any circ*mstances.

Make and keep a photocopy of the completed Qualifications Assessment for your records. GENERAL INSTRUCTIONS This Qualifications Assessment is the sole component of the examination. To obtain a position on the eligible list, a minimum score of 70% must be achieved. Therefore, please be sure to review and follow all instructions carefully as missing or incomplete information may result in disqualification or a lower score. This examination is comprised of the following areas:

Affirmation Statement (page 1)

Filing Instructions / General Instructions (page 2)

Prior State Employment / Conditions of Employment (pages 3 - 4)

Rating Instructions (page 5)

Knowledge & Experience Assessment (pages 6 - 12)

Recruitment Questionnaire (page 13)

YOUR RESPONSES ARE SUBJECT TO VERIFICATION

Please keep in mind that all information provided on this Qualifications Assessment will be subject to verification at any time during the examination process, hiring process, and even after gaining employment. Anyone who misrepresents his/her experience will be subject to adverse consequences, which could include the following action(s):

Removal from the examination process

Removal from the eligible list / certification list

Loss of State employment

Loss of rights to compete in any future state examinations

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 3

PRIOR STATE EMPLOYMENT INFORMATION

Complete this next section ONLY if you have been previously dismissed from California State Civil Service employment by punitive action or as a result of disciplinary proceedings. IF THIS DOES NOT APPLY TO YOU, please skip this question.

Do you have written permission from the California Department of Human Resources (CalHR) to take this examination?

☐YES ☐NO State Personnel Board, Rule 211 provides that a dismissed state employee may only participate in State Civil Service examinations if he/she has obtained prior consent from the State Personnel Board.

CONDITIONS OF EMPLOYMENT PLEASE MARK THE APPROPRIATE BOX(ES) OF YOUR CHOICE. If you are successful in this examination, your name will be placed on an active employment list and referred to fill vacancies Statewide according to the conditions you specify on this form.

TYPE OF APPOINTMENT YOU WILL ACCEPT Please mark the appropriate box(es) - you may check "(A) Any" if you are willing to accept any type of employment.

☐ (D) Permanent Full-Time ☐ (R) Permanent Part-Time ☐ (K) Limited-Term Full-Time ☐ (A) Any

If all are marked and you receive an appointment other than permanent full-time, your name will continue to be considered for permanent full-time positions.

LOCATION(S) YOU ARE WILLING TO WORK

☐ 5 ANYWHERE IN THE STATE – If this box is marked, no further selection is necessary

NORTHERN REGION ☐ 0100 – Alameda County

☐ 0200 – Alpine County

☐ 0300 – Amador County

Mule Creek State Prison

Pine Grove Youth Conservation Camp

☐ 0400 – Butte County

☐ 0500 – Calaveras County

☐ 0600 – Colusa County

☐ 0700 – Contra Costa County

☐ 0800 – Del Norte County

Pelican Bay State Prison

☐ 0900 – El Dorado County

☐ 1100 – Glenn County

☐ 1200 – Humboldt County

☐ 1700 – Lake County

☐ 1800 – Lassen County

California Correctional Center

High Desert State Prison

☐ 2100 – Marin County

CSP, San Quentin

☐ 2300 – Mendocino County

☐ 2500 – Modoc County

☐ 2800 – Napa County

☐ 2900 – Nevada County

☐ 3100 – Placer County

☐ 3200 – Plumas County

☐ 3400 – Sacramento County

CSP, Sacramento

Folsom State Prison

Richard A. McGee Correctional Training Center

☐ 3800 – San Francisco County

☐ 3900 – San Joaquin County

Deuel Vocational Institute

California Health Care Facility

O.H. Close YCF

N.A. Chaderjian YCF

Northern California YCC

☐ 4100 – San Mateo County

☐ 4500 – Shasta County

☐ 4600 – Sierra County

☐ 4700 – Siskiyou County

☐ 4800 – Solano County

California Medical Facility

CSP, Solano

☐ 4900 – Sonoma County

☐ 5100 – Sutter County

☐ 5200 – Tehama County

☐ 5300 – Trinity County

☐ 5500 – Tuolumne County

Sierra Conservation Center

☐ 5700 – Yolo County

☐ 5800 – Yuba County

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 4

CENTRAL REGION

☐ 1000 – Fresno County

Pleasant Valley State Prison

☐ 1400 – Inyo County

☐ 1500 – Kern County

California City Correctional Facility

California Correctional Institution

Kern Valley State Prison

North Kern State Prison

Wasco State Prison

☐ 1600 – Kings County

Avenal State Prison

CSP, Corcoran

CA Substance Abuse Treatment Facility

☐ 2000 – Madera County

Central California Women’s Facility

Valley State Prison

☐ 2200 – Mariposa County

☐ 2400 – Merced County

☐ 2600 – Mono County

☐ 2700 – Monterey County

Correctional Training Facility

Salinas Valley State Prison

☐ 3500 – San Benito County

☐ 4000 – San Luis Obispo

County

California Men’s Colony

☐ 4300 – Santa Clara County

☐ 4400 – Santa Cruz County

☐ 5000 – Stanislaus County

☐ 5400 – Tulare County

SOUTHERN REGION ☐ 1300 – Imperial County

Calipatria State Prison

CSP, Centinela

☐ 1900 – Los Angeles County

CSP, Los Angeles County

☐ 3000 – Orange County

☐ 3300 – Riverside County

California Rehabilitation Center

Chuckawalla Valley State Prison

Ironwood State Prison

☐ 3600 – San Bernardino

County

California Institution for Men

California Institution for Women

☐ 3700 – San Diego County

RJ Donovan Correctional Facility

☐ 4200 – Santa Barbara County

☐ 5600 – Ventura County

Ventura YCF

ADDRESS OR EMPLOYMENT CHANGES

After list release, successful candidates may update any address and/or availability for employment preference information by accessing their CalCareer Account (www.jobs.ca.gov) on the California Department of Human Resources (CalHR) website or by notifying CDCR at the following address:

California Department of Corrections and Rehabilitation Office of Workforce Planning P.O. Box 942883 Sacramento, CA 94283-0001 Attn: Certification Unit

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 5

RATING INSTRUCTIONS

Rate your knowledge and experience performing specific job-related actions, using the rating scale(s) below.

Respond to each statement, beginning on the following page, by indicating how the statement applies to you. You are required to respond to every statement by marking one option for each of the two scales provided. Responses may not be changed or added once submitted to the Office of Workforce Planning. Missing responses will result in a lower score.

In responding to each statement, you may refer to your FORMAL EDUCATION, FORMAL TRAINING COURSES, and/or WORK EXPERIENCE whether paid or not paid.

SCALE #1 - KNOWLEDGE RELATED TO PERFORMING THIS ACTION

Extensive Knowledge I possess an expert knowledge level to the extent that I have effectively performed tasks related to this knowledge in the most difficult and complex situations and I have instructed others on specific aspects of this knowledge.

Moderate Knowledge I possess an advanced knowledge level to the extent that I could effectively perform this task under the majority of circ*mstances or situations encountered.

Basic Knowledge I possess a sufficient knowledge level that would allow me to perform this task successfully in routine situations.

Limited Knowledge I have some knowledge of how to perform this task, but I may require additional instruction to apply my knowledge effectively.

No Knowledge I have no knowledge of how to perform this task or what it may entail.

SCALE #2 - EXPERIENCE RELATED TO PERFORMING THIS ACTION

Extensive Experience I have more than 4 years of experience in regularly performing this action and I have instructed others on this specific action.

Moderate Experience I have more than 3 years, but less than 4 years of experience performing this action and I can perform it independently.

Basic Experience I have more than 2 years, but less than 3 years of experience performing this action and I have performed it regularly with minimal or no assistance.

Limited Experience I have less than 2 years of experience in performing this action and I may require assistance for successful performance.

No Experience I have never performed this action.

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 6

1. Maintain plumbing components throughout the institution and/or large facility (e.g. underground utilities, valves, fixtures, pumps, etc.).

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

2. Lead the work of crew members (e.g. inmates, youthful offenders, etc.) in the operation, installation, maintenance, alteration, and repair of plumbing components.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

3. Perform the operation, installation, maintenance, alteration, and repair of plumbing components for the institution and/or large facility.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

4. Inspect the work of crew members (e.g. inmates, youthful offenders, etc.) in the operation, installation, maintenance, alteration, and repair of plumbing components for the institution and/or large facility.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

5. Supervise crew members (e.g. inmates, youthful offenders, etc.) to maintain safety and security of work areas/materials.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 7

6. Coordinate with chain of command, other maintenance trades and institutional program staff regarding facility projects and repairs.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

7. Inspect and maintain the plumbing shop (e.g., keys, alarms, locking devices, tool cages, tool inventories, etc.).

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

8. Complete preventative maintenance work orders.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

9. Address conflicts with crew members (e.g. inmates, youthful offenders, etc.) and/or staff.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

10. Maintain key and tool control and the safety and security of the institution and/or large facility.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 8

11. Submit a requisition request of materials and supplies and maintain sufficient inventory.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

12. Prepare cost estimates for supervision on a variety of jobs to include labor, materials, tools, equipment, etc.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

13. Prepare job layout for supervision to verify materials, equipment, tools, and labor resources.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

14. Repair and maintain water, air, gas, and sewer lines and systems throughout the institution and/or large facility.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

15. Cut/thread pipe and solder or braze copper joints on water, gas, or drainage systems.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 9

16. Connect/maintain hot water tanks, gas heaters, and furnaces.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

17. Unstop clogged lines to plumbing fixtures or sanitary sewer lines.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

18. Perform preventative maintenance on water line valves, emergency valves, emergency eye was stations, water heaters, furnaces, and drinking fountains.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

19. Install, inspect, and maintain backflow prevention devices.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

20. Troubleshoot institutional and/or large facility plumbing systems.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 10

21. Communicate in a professional manner and deal with confidential issues.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

22. Respond to emergency call (e.g., sanitary sewer overflow, water leaks, and plumbing fixture malfunctions, etc.).

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

23. Attend In-Service Training (IST) and On-the-Job Training (OJT).

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

24. Maintain records and daily reports (e.g., crew member’s timesheets, daily work orders and time reports, tool control, vehicle log, etc.).

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

25. Prepare/maintain records and reports (e.g., Safety Data Sheets, staff and inmate safety training, tool inventory, perpetual chemical inventory, etc.).

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 11

26. Perform Preventative Maintenance (PMs) of plumbing equipment.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

27. Advise in the storage of plumbing equipment and materials.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

28. Escort outside vendors and contractors.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

29. Assist in emergency situations (e.g., sanitary sewer overflows, water main breaks, cell searches, other duties as required, etc.).

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

30. Prepare a list of tools to verify proper preparation and completion of specific jobs and task/work orders.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 12

31. Verify tool/equipment is properly maintained.

Knowledge related to performing this action

☐ Extensive Knowledge

☐ Moderate Knowledge

☐ Basic Knowledge

☐ Limited Knowledge

☐ No Knowledge

Experience related to performing this action

☐ Extensive Experience

☐ Moderate Experience

☐ Basic Experience

☐ Limited Experience

☐ No Experience

THIS CONCLUDES THE EXAMINATION

REVISION DATE: 3/12/20 - JS

PLUMBER 2, CF - QUALIFICATIONS ASSESSMENT PAGE 13

RECRUITMENT QUESTIONNAIRE

Applicants are asked to voluntarily provide the information below. The following data will be used for statistical data gathering and reporting purposes. This questionnaire will be separated from the examination and this information will not be used in any employment decisions.

GENDER

☐ Male

☐ Female

☐ Non-binary

RACE AND ETHNICITY

Check one box that best describes your race or ethnicity.

☐ Black or African American

☐ American Indian or Alaska

Native

☐ Hispanic or Latino (alone or

in combination with any other race)

☐ White

☐ Multiple Races*

ASIAN

☐ Multiple Asian**

☐ Indian

☐ Cambodian

☐ Chinese

☐ Filipino

☐ Japanese

☐ Korean

☐ Laotian

☐ Vietnamese

☐ Other Asian

PACIFIC ISLANDER

☐ Multiple Pacific Islander***

☐ Guamanian

☐ Hawaiian

☐ Samoan

☐ Other Pacific Islander

*If you identify with more than one race that is Non-Hispanic or Latino, select Multiple Races.

**If you identify with more than one Asian ethnicity, select Multiple Asian.

***If you identify with more than one Pacific Islander ethnicity, select Multiple Pacific Islander.

AUTHORITIES

Government Code sections 8310.5, 19705, 19790, 19792(h) and California Code of Regulations, Title 2, sections 599.980, 11013(b) authorize the State of California to collect demographic information on job applicants and exam participants for analysis and statistical purposes.

CONTINUE TO NEXT PAGE TO COMPLETE RECRUITMENT QUESTIONNAIRE

PLUMBER 2, CF - QUALIFICATIONS ASSESSMENT PAGE 14

RECRUITMENT QUESTIONNAIRE On behalf of the California Department of Corrections and Rehabilitation, we thank you for participating in this examination. To assist us in our recruitment efforts, please tell us how you heard about this examination. Please check the appropriate box and, where relevant, specify your answer:

☐ Internet (www.cdcr.ca.gov, www.jobs.ca.gov)

☐ Job Fair

☐ Friend/Family Member

☐ Staffing Agency (Spearhead, Manpower)

☐ Career Assistance Centers (e.g., Employment Development Department Career Network, Workforce Center)

☐ State Agency (please specify): _______________________________________________________

Military Base (please specify): _______________________________________________________

☐ Local Union (please specify): ________________________________________________________

☐ Other (please specify): _____________________________________________________________

California Department of Corrections and Rehabilitation

☐ Flyer

☐ Banner

☐ Employee

☐ Exam Bulletin E-Blast

☐ Institution Bulletin Board

Social Media

☐ Facebook

☐ Indeed

☐ Monster

Educational Facility

☐ College

☐ Trade School

☐ School Association

☐ Specialized Training/Certification Program (e.g., Job Corps, Skill Centers, Regional Occupational Programs)

☐ Local Apprenticeship Program

Public Advertisem*nts

☐ Bus

☐ Truck

☐ Billboard

☐ Mobile Ad

Out of State Resource

☐ Arizona

☐ Oregon

☐ Nevada

PLUMBER 2, CORRECTIONAL FACILITY (CF) Qualifications … · 2020-07-09 · PLUMBER 2, CORRECTIONAL FACILITY (CF) - QUALIFICATIONS ASSESSMENT PAGE 5 RATING INSTRUCTIONS Rate your knowledge - [PDF Document] (2024)

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