USA Staffing

Your responses to this questionnaire, in conjunction with the other portions of your completed application, will be evaluated in making preliminary screening decisions for this position. Do not overstate or understate your level of experience and capability. You should be aware that your ratings are subject to evaluation and verification. Particularly, your resume must support the response to the questions in the Occupational Questionnaire. Additional steps in the selections process are designed to verify your stated level of experience and capability.

Select “Yes” or “No” to the following question(s).

1. Do you have experience that demonstrated the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position. Such duties may include (1) controlling or extinguishing fires as a member of an organized military, industrial, volunteer, or governmental fire department or brigade; (2) rescue operations; (3) detection, reduction, or elimination of potential fire hazards; (4) operation of fire communications equipment; (5) controlling hazardous materials incidents; (6) developing, implementing, or providing training in fire protection and prevention; (7) firefighting and fire prevention theory and techniques; (8) fixed and mobile firefighting equipment operation; (9) planning, directing, or carrying out fire protection and prevention programs and operations and/or (10) performing emergency medical services?

A. Yes

B. No

2. Do you have 12 months experience, education, or training in one or more of the following areas: (1) Controlling or extinguishing fires as a member of an organized military, industrial, volunteer, or governmental fire department or brigade. (2) Rescue operations. (3) Detection, reduction, or elimination of potential fire hazards. (4) Operation of fire communications equipment. (5) Controlling hazardous materials incidents. (6) Developing, implementing, or providing training in fire protection and prevention (7) Firefighting and fire prevention theory and techniques; (8) Fixed and mobile firefighting equipment operation. (9) Planning, directing, or carrying out fire protection and prevention programs and operations and/or (10) Performing emergency medical services?

A. Yes

B. No

Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided.

3. Establishes on scene control procedures, including control zones and decontamination processing.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

E. I am considered an expert in performing this task. I have supervised performance of this task or am normally the person who is consulted by other workers to assist or train them in doing this task because of my expertise.

4. Assists other hazardous material technicians and other hazardous materials response personnel.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

5. Establishes on scene control procedures, including control zones and decontamination processing.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

Select “Yes” or “No” to the following question(s).

6. I certify that, to the best of my knowledge and belief, all of the information included in this questionnaire is true, correct, and provided in good faith. I understand that if I make an intentional false statement, or commit deception or fraud in this application and its supporting materials, or in any document or interview associated with the examination process, I may be fined or imprisoned (18 U.S.C. 1001); my eligibilities may be cancelled, I may be denied an appointment, or I may be removed and debarred from Federal service (5 C.F.R. part 731). I understand that any information I give may be investigated. I understand that responding "No" to this item will result in my not being considered for this position.

A. Yes

B. No

Terms & Conditions

Your Session is About to Expire!