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SUPERVISING ENGINEERING GEOLOGIST TRAINING AND EXPERIENCE EXAMINATION Thank you for your interest in employment with the State Water Resources Control Board. All competitors who are successful in the examination will be eligible to be considered for a job opening with the State Water Resources Control Board (SWRCB) and the nine Regional Water Quality Control Boards (RWQCB) (collectively the Water Boards). The Water Boards’ Supervising Engineering Geologist examination consists entirely of a Training and Experience questionnaire which will be used to evaluate your education, experience, knowledge, abilities, and potential to effectively perform the duties relative to the classification. Candidates who meet the minimum qualifications as listed in the examination bulletin may take this examination. The information you provide in this questionnaire will determine your score and rank on the eligibility list. Candidates misrepresenting their education, experience, knowledge, and abilities will be subject to adverse consequences, which could include the following: Removal from the exam process; Removal from the certification list; Loss of state employment; and/or Loss of the right to compete in any future examinations. If you have any questions regarding the Supervising Engineering Geologist examination, please contact the Human Resources Office Exam Unit at (916) 341- 5127 or at [email protected] . Your complete package must be mailed to: State Water Resources Control Board Human Resources – Exam Unit P.O. BOX 100 Sacramento, CA 95812-0100 If successful in the examination, your name will be placed on the eligibility list for a period of 12 months. During this period, you may apply for

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Page 1: INDICATE THE TYPE OF APPOINTMENT YOU WILL · Web viewCandidates misrepresenting their education, experience, knowledge, and abilities will be subject to adverse consequences, which

SUPERVISING ENGINEERING GEOLOGIST

TRAINING AND EXPERIENCE EXAMINATION

Thank you for your interest in employment with the State Water Resources Control Board.

All competitors who are successful in the examination will be eligible to be considered for a job opening with the State Water Resources Control Board (SWRCB) and the nine Regional Water Quality Control Boards (RWQCB) (collectively the Water Boards).

The Water Boards’ Supervising Engineering Geologist examination consists entirely of a Training and Experience questionnaire which will be used to evaluate your education, experience, knowledge, abilities, and potential to effectively perform the duties relative to the classification.

Candidates who meet the minimum qualifications as listed in the examination bulletin may take this examination. The information you provide in this questionnaire will determine your score and rank on the eligibility list.

Candidates misrepresenting their education, experience, knowledge, and abilities will be subject to adverse consequences, which could include the following:

Removal from the exam process; Removal from the certification list; Loss of state employment; and/or Loss of the right to compete in any future examinations.

If you have any questions regarding the Supervising Engineering Geologist examination, please contact the Human Resources Office Exam Unit at (916) 341-5127 or at [email protected].

Your complete package must be mailed to:

State Water Resources Control BoardHuman Resources – Exam UnitP.O. BOX 100Sacramento, CA 95812-0100

If successful in the examination, your name will be placed on the eligibility list for a period of 12 months. During this period, you may apply for openings and be considered for employment opportunities with the Water Boards. Your examination may be made available to hiring supervisors for review when you submit your application.

Your examination results will be mailed to your home address.

Contact information – You are responsible for keeping your contact information up to date. Updates to your name, address, phone number, and location preference can be done by visiting the California Department of Human Resources website and logging into your CalCareer account at http://www.jobs.ca.gov// or contacting the Water Board Exam Unit.

RETAIN THIS PAGE FOR YOUR RECORDS

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SUPERVISING ENGINEERING GEOLOGIST

INSTRUCTIONS

COMPLETING EXAMINATION MATERIALS:

This Training and Experience questionnaire is the examination for the Supervising Engineering Geologist.

In the following pages, you will rate yourself on series of statements comprised of essential tasks, knowledge, and skills required to successfully perform in the Supervising Engineering Geologist position. Respond to each statement by briefly indicating how it applies to you. You are required to respond to every statement and provide relevant examples.

In responding to each statement you may refer to your work experience (public or private) whether paid or volunteer, formal education or formal training courses.

Fill out the questionnaire neatly and legibly.

Your sentences should be clear and understandable.

Provide brief responses on the questionnaire only using the space provided. Do not write on the back of pages.

Do not alter the form in any way to give yourself additional space. Altered forms or responses will not be evaluated.

Do not attach a resume, additional pages or other materials. Attachments will not be evaluated.

You are required to respond to every statement by marking one option for each of the two scales provided.

Include brief descriptions of your knowledge and/or experience for each statement. If your description is not included, you will not receive a score for that item.

Upon completion, make a photocopy for your records.

Mail the completed questionnaire, standard state application (STD. 678), and photocopies of official transcripts and degree to the address listed on the previous page.

Be sure your envelope has adequate postage.

FACSIMILES (FAX) OR EMAIL WILL NOT BE ACCEPTED UNDER ANY CIRCUMSTANCES

RETAIN THIS PAGE FOR YOUR RECORDS

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SUPERVISING ENGINEERING GEOLOGIST

Have you ever been fired, dismissed, terminated, or had an employment contract terminated from any position for performance or for disciplinary reasons? (Applicants who have been rejected during a probationary period, or whose dismissals or terminations have been overturned, withdrawn (unilaterally or as part of a settlement agreement) or revoked need not answer “Yes”.) ☐ Yes ☐ No

Rule 211 provides that a DISMISSED State employee (an employee who previously worked for the State of California and was dismissed) may only participate in State Civil Service examinations if he or she has obtained prior consent from the State Personnel Board. If this pertains to you, do you have written permission from the State Personnel Board Executive Officer to take this examination? ☐ Yes (Letter of permission must be attached) ☐ No

IF YOU WERE DISMISSED AND DO NOT HAVE PERMISSION FROM THE EXECUTIVE OFFICER OF THE STATE PERSONNEL BOARD TO TAKE THIS EXAMINATION, STOP HERE! DO NOT TAKE THIS EXAMINATION!

STATEMENT OF UNDERSTANDING FOR CANDIDATES

Government code Sections 19680 through 19682 require that all State civil service examinations be confidential and impartial. As a participant, I hereby certify that I will maintain the confidentiality of this examination and that all the statements I make in this examination are true. I understand that my responses are subject to verification at any time, and if I misrepresent myself (education, experience, knowledge and abilities) this is cause for applicable adverse consequences (e.g., removal from the exam process, removal from the certification list, loss of state employment, and/or loss of the right to compete in any future examinations).

I understand that I am fully responsible for reading and comprehending all information and instructions provided in this Training and Experience Questionnaire. Further, I understand that if this questionnaire is not completed correctly, it will not be processed and therefore will result in an automatic disqualification from this exam process.

Please complete the following items after you have read the above standards stated above:

CANDIDATE PRINTED NAME

DAYTIME PHONE NUMBER

CONTACT EMAIL ADDRESS

SOCIAL SECURITY NUMBER(Providing your Social Security Number is voluntary in accordance with the Federal privacy act of 1974 (PL-93-579). In this exam, your Social Security Number is required to process applications for Veteran’s Preference Points, check for eligibility to retake the examination, and verify statements regarding prior employment. Your Social Security Number is used as your identification number for all exams. Failure to provide your SSN could result in substantial delays in establishing your eligibility for employment.)

CANDIDATE SIGNATURE DATE

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SUPERVISING ENGINEERING GEOLOGIST

YOUR NAME (PLEASE PRINT):_____________________________________________________

LOCATION PREFERENCE

Please indicate ANY and ALL locations where you would like to work by marking the box(s).

☐ – All locations (If checked, no further selections will be necessary) (5)

☐ – Bakersfield (1502)

☐ – Carpinteria (4207)

☐ – Fresno (1005)

☐ – Glendale (1930)

☐ – Los Angeles (1941)

☐ – Monterey (2704)

☐ – Oakland (0110)

☐ – Palm Desert (3307)

☐ – Redding (4504)

☐ – Richmond (0708)

☐ – Riverside (3311)

☐ – Sacramento (3400)

☐ – San Bernardino (3622)

☐ – San Diego (3708)

☐ – San Luis Obispo (4007)

☐ – Santa Ana (3010)

☐ – Santa Rosa (4905)

☐ – South Lake Tahoe (0903)

☐ – Stockton (3910)

☐ – Victorville (3627)

INDICATE THE TYPE OF APPOINTMENT YOU WILL ACCEPT(Please indicate ANY and ALL that apply by marking the box.)

☐ Permanent Full Time (D)

☐ Other Than Permanent Full Time (R)

Part Time (Regular hours less than 40)Limited Term (Up to 24 months)Intermittent (On-call and hourly - not more than 1500 hours per year)

☐ Will Consider All Types of Employment (A)

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SUPERVISING ENGINEERING GEOLOGIST

YOUR NAME (PLEASE PRINT)

EDUCATION

INDICATE DEGREE(S) OBTAINED FROM AN ACCREDITED COLLEGE/UNIVERSITY

Bachelor’s Degree

College/University:Major:

Graduation Date:

Master’s Degree

College/University:Major:

Graduation Date:

Doctorate Degree

College/University:Major:

Graduation Date:

Professional Geologist LicenseState:

License Number

License Expiration Date:

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1. Effective leadership skills as a manager in the organization.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

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SUPERVISING ENGINEERING GEOLOGIST

2. Oversee technical activities of senior level supervisors.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

5

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3. Supervise and mentor staff to meet job commitments and goals.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

6

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4. Communicate expectations and priorities to staff and ensure that staff adheres to policies, regulations, work unit procedures, or deadlines.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

7

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5. Develop and implement program work plans and performance measures to ensure accountability, and that goals and objectives are met.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

8

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6. Oversee and manage all aspects of formal public presentations, including logistics, content, rehearsals, briefings, and public outreach.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

SENIOR WATER RESOURCE CONTROL ENGINEER

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7. Review technical work products using principles of geology, hydrogeology, and engineering geology.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

10

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8. Observe and document individual performance, provide ongoing feedback focusing on performance, and address problematic performance.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

11

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9. Develop and implement policies, regulations, or guidelines.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

12

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10. Perform personnel actions, budget administration, recruitment, and contract administration.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

13

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11. Manage program budgets and track expenditures.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

14

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12. Interact with managers, supervisors, peers from other agencies, stakeholders, and contractors, to ensure effective, efficient, and productive program outcomes.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

15

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13. Represent the organization on committees, at forums, and in meetings.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

16

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14. Oversee the compliance and enforcement activities related to environmental investigation and cleanup.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

17

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15. Oversee the development, implementation, compliance, or enforcement of permits, or regulatory orders and requirements.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

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16. Direct the preparation or review of special studies, research projects, or hydrological, geological, geophysical, or geological engineering reports or memoranda.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

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17. Respond to media inquiries or develop press releases.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

20

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18. Provide testimony in legal proceedings such as formal hearings and depositions.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

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SUPERVISING ENGINEERING GEOLOGIST

19. Ensure that disadvantaged community needs, tribal sovereignty, and environmental justice factors are considered in establishing work and program priorities.

Scale #1 Knowledge related to performing this action:

☐ Extensive Knowledge – I possess an advanced knowledge level to the extent that I could effectively perform this action under the majority of circumstances or situations encountered, and I could instruct others on specific aspects of this action.

☐ Moderate Knowledge – I possess a sufficient knowledge level that would allow me to perform this action successfully.

☐ Limited Knowledge – I have some knowledge of this action, but may require additional instruction to apply my knowledge effectively.

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

Scale #2 Experience related to performing this action:

☐ Extensive Experience – I have performed this action regularly.

☐ Moderate Experience – I have performed this action multiple times, and could effectively perform this action if required.

☐ Limited Experience – I have performed this action before, but would still be considered a beginner by others in the field and I would likely require assistance for successful performance.

☐ No Experience – I have never performed this action.

Please describe:

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THIS CONCLUDES THE EXAMINATION.

RESULTS WILL BE MAILED IN APPROXIMATELY4-6 WEEKS.

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