Training and Experience Examination

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’ Engineering Geologist examination consists entirely of a Training and Experience questionnaire which will be used to evaluate your education, training, experience and familiarity with or understanding of a particular subject or task 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, training, 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 Engineering Geologist examination, please contact the Human Resources Office Exam Unit at (916) 341-5127 or at .

Your complete package must be mailed to:

State Water Resources Control Board

Human Resources – Exam Unit

1001 I Street, 18th Floor

Sacramento, CA 95814

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 or location preference can be done by visiting the California Department of Human Resources website and logging into your account at http://www.jobs.ca.gov// or contacting the Water Boards Exam Unit.

RETAIN THIS PAGE FOR YOUR RECORDS

ENGINEERING GEOLOGIST

INSTRUCTIONS

COMPLETING EXAMINATION MATERIALS:

This Training and Experience questionnaire is the examination for the 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 Engineering Geologist position. Respond to each statement by indicating how it applies to you. You are required to respond to every statement.

· 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.

· Be sure your sentences are clear and understandable.

· Provide your responses on the questionnaire only using the space provided. Do not attach a resume, additional pages or other materials. Do not write on the back of pages. Attachments will not be evaluated.

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

· You are required to respond to every statement in Sections 1 & 2 by marking one option.

· Include brief descriptions of your knowledge and/or experience for each statement in Section 2. 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) WILL NOT BE ACCEPTED UNDER ANY CIRCUMSTANCES

RETAIN THIS PAGE FOR YOUR RECORDS

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 standards stated above:
CANDIDATE PRINTED NAME
SOCIAL SECURITY NUMBER
(Providing your Social Security Account 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

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 Francisco (3800)
☐ – 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)

ENGINEERING GEOLOGIST

INDICATE ALL THAT APPLY

☐ Registered Senior

☐ Bachelor’s degree in one of the majors listed below

☐ Master’s Degree in one of the majors listed below

☐ PhD in one of the majors listed below

☐ Additional qualifying experience (substitutes for the required education on a year for year basis)

☐ None of the above

If you checked “none of the above”, do not continue with this examination. You do not meet the minimum qualifications to take this exam.

APPROVED COLLEGE DEGREES

(Please mark your degree(s) below)

☐ Geology
☐ Engineering Geology
☐ Earth Science
☐ Geophysics
☐ Hydrogeology
☐ Geological Engineering
☐ Other closely related field:

Professional Geologist License

State:
License Number:
License Expiration Date:

Additional License/Certifications

(i.e., engineering geology, hydrogeology, etc.)

ENGINEERING GEOLOGIST

EDUCATION HISTORY

Please list your university(s) relevant to the Examination. The EDUCATION CODE will be used in identifying where the experience was obtained for each question.

EDUCATION CODE A

University Name:
University Location: City / State
Dates of Attendance: From / To:

EDUCATION CODE B

University Name:
University Location: City / State
Dates of Attendance: From / To:

EDUCATION CODE C

University Name:
University Location: City / State
Dates of Attendance: From / To:

EDUCATION CODE D

University Name:
University Location: City / State
Dates of Attendance: From / To:

EDUCATION CODE E

University Name:
University Location: City / State
Dates of Attendance: From / To:

EDUCATION CODE F

University Name:
University Location: City / State
Dates of Attendance: From / To:

ENGINEERING GEOLOGIST

EMPLOYMENT HISTORY

Please describe your experience relevant to the Examination. Begin with your most recent experience. The EXPERIENCE CODE will be used in identifying where the experience was obtained for each statement. If you have no experience, please continue to the next page.

EXPERIENCE CODE G

Employer Name:
Employer: City / State
Dates of Employment: From / To:
Supervisor / Telephone Number

EXPERIENCE CODE H

Employer Name:
Employer: City / State
Dates of Employment: From / To:
Supervisor / Telephone Number

EXPERIENCE CODE I

Employer Name:
Employer: City / State
Dates of Employment: From / To:
Supervisor / Telephone Number

EXPERIENCE CODE J

Employer Name:
Employer: City / State
Dates of Employment: From / To:
Supervisor / Telephone Number

EXPERIENCE CODE K

Employer Name:
Employer: City / State
Dates of Employment: From / To:
Supervisor / Telephone Number

EXPERIENCE CODE L

Employer Name:
Employer: City / State
Dates of Employment: From / To:
Supervisor / Telephone Number

ENGINEERING GEOLOGIST

SECTION 1

TECHNICAL SKILLS

Use these ratings to respond to following statements:

A. I possess an advanced knowledge level to the extent that I could effectively use this software under the majority of circumstances or situations encountered.

B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine situations.

C. I have some knowledge of how to use this software, but may require additional instructions to apply my knowledge effectively.

D. I have no knowledge of how to use this software or what it may entail.

Not answering statements will be scored as “I have no knowledge of how to use this software or what it may entail”.

COMPUTER SKILLS

1. Spreadsheet software

☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the majority of circumstances or situations encountered.