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4. If you regularly supervise others, list them by name and job title.
5. If you supervise others, please check those activities that are part of your supervisory duties.
6. How would you describe the successful completion and results of your work?
7. Job Duties: Please describe what you do and, if possible, how you do it. Indicate those duties
you consider to be most important and/or most difficult.
a. Daily duties:
f. Should you be performing duties not now included in your job? If yes, please describe.
8. Education. Please check the blank that indicates the educational requirements for the job, not
your own educational background.
Please indicate the education you had when you were placed on this job.
Please indicate the experience you had when you were placed on this job.
10. Skill. Please list any skills required in the performance of your job. (For example, amount of
accuracy, alertness, precision in working with described tools, methods, systems, etc.)
11. Equipment. Does your work require the use of any equipment? Yes No
If Yes, please list the equipment and check whether you use it rarely, occasionally, or frequently.