Custodian Supplemental Application

Supplemental Application

Human Resource Services Department

(509) 574-4670

CUSTODIAN

Your application materials will first be reviewed by a YVCC Human Resource Department staff member to confirm you meet the minimum requirements for this position. The Human Resource Department will select a "technical rater" (an individual who has work experience/skills/knowledge in a like position) who will rate your responses to the questions in this supplemental application. The regular employment application will be separated from the supplemental application; and the Technical Rater will see ONLY the supplemental application portion of your application packet.

►You may type or write your answers, but your answers must be clear and legible.

►Limit your answers to one page per item.

►Clearly number each of your answers with the ITEM NUMBER.

►Read all of the items on the next page before you start to answer them.

►Describe your relevant experience and training for each item.

►Be thorough and complete with your responses.

►Include your most relevant experience and training, paid or unpaid, part-time or full-time, whether gained in school, spare time, or previous employment.

►Do not overstate your qualifications or claim experience or training that you do not have.

►YOU CANNOT BE GIVEN CREDIT FOR EXPERIENCE OR TRAINING YOU DO NOT STATE ON YOUR ANSWER SHEETS.

►ONLY the answers you give for each item will be rated.

►DO NOT refer to resumes or other attached information.

►DO repeat information if it is required by more than one item.

Your statements in this supplemental application will be verified if you progress to the final phase of the examination.

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The information on the attached answer sheets is true and complete to the best of my knowledge. I understand that misleading answers may cause disqualification of my application or dismissal if I become employed. I also understand this supplemental application is the first part of the examination for this position and will be used to determine if my application is to be given further consideration.

Signature:Date:

Over

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You must pass this examination to be considered further. We may verify your answers by contacting former employers to assure your work experience or education is appropriate for the position.

IMPORTANT: This information along with your work history provided on your application form will both be used to evaluate your custodial skills.

1. CUSTODIAL TRAINING

List any custodial training you have received. Include custodial training schools, programs, classes or other formal custodial seminars or discussions. Do not include things you learned on the job from your supervisor, leads or co-workers. Describe the type of training and tell where and when you received it.
Type of training / Location of training / Dates
(month/year)

2. CUSTODIAL OR CLEANING JOBS

List any custodial or cleaning jobs you have held. (Attach more paper if you need more space).
Job Title / Employer / Specific tasks / Hours worked per week / Dates employed (month/year)

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3. SPECIFIC CUSTODIAL DUTIES

Put an X in the box next to each task you have performed, including where and when.
Custodial Duties / Location / When
(month/year) / Frequency
(daily, weekly, etc.)
Cleaning toilets, shower rooms
and fixtures
Sweeping, mopping hard floors
Vacuuming and shampooing
carpeted floors
Cleaning desks, tables and
chairs
Using buffers, polishers or
similar equipment
Stripping and waxing floors
Other related duties
(Please specify)

4. WORKING INDEPENDENTLY

Put an X in the box next the statement which best describes the manner in which you usually have worked.

I have worked with other people sharing the same work area(s) to get the job done.

I have worked as a part of a crew or team, but had my own work area.

I have worked on my own to get my work done.

Describe some tasks you have completed on your own:

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The following questions do not affect your Supplemental Application score.

5. WORK HOURS

Put an X in the box next to the time of day that you have usually worked. Mark in the appropriate box at the right whether you are willing to work the shift.

Willing to work?

YESNO

7:00 a.m. to 6:00 p.m.

3:30 p.m. to 12:00 a.m.

12:00 a.m. to 7:00 a.m.

On which eligibility list would you like to be included: _____full-time, _____part-time or _____both?

On which campus would you prefer to work: ______Yakima or ______Grandview?

Signature:Date:

End of Supplemental Application.