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Job‑Description Questionnaire

Job‑Description Questionnaire

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Position Sumary:

Major Responsibilities:

Identify 4 to 6 job responsibilities. Within this section, specify physical requirements, and environmental work conditions. If the majority of the job involves physical activities, complete the Physical Requirement Form.

Percentage of Time Annually:

Indicate the amount that are considered essential. All functions may not be considered essential.

(may not be applicable)
(may not be applicable)
(may not be applicable)

Essential Responsibilities:

Example: Lifting boxes to stock warehouse shelves (up to 50 lbs. - 15 hours a week)
Example: Lifting boxes to stock warehouse shelves (up to 50 lbs. - 15 hours a week)
Example: Lifting boxes to stock warehouse shelves (up to 50 lbs. - 15 hours a week)

Qualifications:

Education:

Check the minimal educational background, certification and licensure required to competently perform the essential responsibilities of the job.
*additional information may be needed below

Experience:

Supervision

Physical Requirement:

e.g. Sign Language Interpreting

Work Environment:

For all other positions, please check the condition(s) that apply to position and how often it occurs (frequency).

Condition:

e.g. safety goggles
*Hazardous wastes could include, but are not limited to, chemical or paint wastes, regulated medical wastes, universal wastes, electronic wastes, used oil or any other waste material that is determined to be hazardous waste.

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