jcq final individual blank word 97 to 2003

8/18/2019 JCQ Final Individual Blank Word 97 to 2003

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Welcome to the new Job Content Questionnaire (JCQ) form. This form was designed aspart of the PLA! pro"ect. PLA! is the pro"ect we are conducting to update andmoderni#e our Classification and Compensation Plan. We are collaborating on thispro"ect with the $a%&roup' a global management consulting firm speciali#ing inhuman resource consulting serices. The *e% ob"ecties of this pro"ect are (+) to ensurethat our Classification Plan accuratel% organi#es and describes the "obs in !tategoernment, and (-) to ensure that our Compensation Plan is internall% fair andeternall% competitie.

We are collecting "ob content information from all classified and classified/eempt

emplo%ees in the 0ecutie 1ranch of !tate goernment to ma*e sure our ClassificationPlan is accurate and up to date. 2our participation in this part of the pro"ect is critical. As %ou go through this Job Content Questionnaire (JCQ) please thin* about the dutiesand responsibilities of %our position and answer the 3uestions completel% andaccuratel%. The information %ou proide will be the basis for determining how %ourposition fits within our updated Classification Plan.

Than* %ou for %our time and cooperation in this important pro"ect. Please isit ourpro"ect website www.PLA!.w.go for more information or to chec* on our progress.

Individual JCQ p. 1

Division of Personnel

Job Content Questionnaire (JCQ)

(4ndiidual)


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&005AL 46758AT471. The preferred method of data collection is through the electronic data collection system in which the

employee, supervisor and agency designee complete all parts electronically.2. Employees should only complete a paper JCQ if they do not have access to a computer and the internet

at work.. All JCQs must !e completed during the "#$%& pro'ect data collection period.(. )ou are required to check with your agency for any internal timelines you must follow.

*. "lease write legibly and use blue ink.+. hen completing the JCQ, it is recommended that you use the supplemental instructional guide on how tocomplete a JCQ, which is availa!le at www.plans.wv.gov. -t may answer many of your uestions on how torespond to items on the JCQ.

/. )ou are encouraged to make a copy of the JCQ for your records, !ut any such copy is a convenience copyand is not the official su!mitted JCQ. The official su!mitted JCQ is the original document containingoriginal signatures that is su!mitted to the 0 ivision of "ersonnel.

. )ou may contact the ivision of "ersonnel with any uestions regarding this pro'ect !y phone at 34(5 **67*4 e8tension */27 3leave a message5 or !y email at 9"."#$%&:wv.gov.

08PL7200 4!T59CT47!1. "lease complete the JCQ in your own words. )ou may receive assistance from your supervisor and;or

other employees performing the same duties as you.2. Complete the JCQ !ased upon your permanently assigned duties. o not include duties assigned as

part of a temporary upgrade.. $fter completing the JCQ, !e sure to sign, date, and make a copy of the completed form for your records.(.


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epending on whether or not your agency has a ata Entry esignee, use one of the two options !elow toreview and su!mit this JCQ.

OPTION A – -f your agency as a ata Entry esignee !""PR#$#RR#% OPTION""&'1. -f your agency as a ata Entry esignee, you ()ST complete your review of this JCQ electronically

after it has !een entered into the system !y the ata Entry esignee.2. To !egin your review, go to the "#$%& pro'ect we!site at www.plans.wv.gov. -t contains information on

how to access and log in to the "#$%& data collection site.. hen asked the purpose of your session, choose >$gency@. Then select >$gency approve a su!mitted

JCQ@.(. Complete your review !y following the directions provided online.*. $fter receiving a completed JCQ, carefully review the document for accuracy and completeness. )ou

may not change any information the employee or supervisor provided.+. Complete the Agency *uman Resources+Agency %esignee Approval Section !ased on the

permanently assigned duties of the position. o not include duties assigned as part of a temporaryupgrade. -ndicate any duties listed !y the employee that are of a temporary nature in the Agency*uman Resources+Agency %esignee Approval Section.

/. "rovide any additional information or clarification in the Agency *uman Resources+Agency%esignee Approval Section of the JCQ.

. pon completion, sign and date the JCQ electronically, and print a copy for your records.7. Dail this original paper JCQ, containing all original signatures, to

ivision of "ersonnelClassification and Compensation &ectionCapitol Comple8, Fuilding + Boom (4(Charleston, 0 2*4*

OPTION , – -f your agency does not have a ata Entry esignee1. -f your agency does not have a ata Entry esignee, complete your review of this JCQ on this paper

document.2. $fter receiving a completed JCQ, carefully review the document for accuracy and completeness. )ou

may not change any information the employee or supervisor provided.. Complete the Agency *uman Resources+Agency %esignee Approval Section !ased on the

permanently assigned duties of the position. o not include duties assigned as part of a temporaryupgrade. -ndicate any duties listed !y the employee that are of a temporary nature in the Agency*uman Resources+Agency %esignee Approval Section.

(. "rovide any additional information or clarification in the Agency *uman Resources+Agency%esignee Approval Section of this paper JCQ.

*. &ign and date the JCQ upon completion, and make a copy for your records.+. Dail this original paper JCQ, containing all original signatures, to

ivision of "ersonnelClassification and Compensation &ectionCapitol Comple8, Fuilding + Boom (4(Charleston, 0 2*4*

Individual JCQ p. 3

http://www.plans.wv.gov/http://www.plans.wv.gov/


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08PL7200 !0CT47

-omplete tis .orm in its entirety and do not leave sections blank unless tey are notapplicable to your position/

"lease complete the JCQ in your own words. )ou may receive assistance from your supervisor

and;or other employees performing the same duties as you.

PART 0 1 P#RSONA2 %ATA

03 #mployee Name !2ast4 $irst4 (I& 53 2ast 6 digits o. SSN

73 )nique Identi.ication Number 63 -urrent 8ob -lassi.ication

93 Agency Name :3 Status !-lassi.ied+-lassi.ied1#;empt&

3 Ne;t 2evel Supervisor Name 0?3 Ne;t 2evel Supervisor 8ob -lassi.ication

PART 5 – P)RPOS# O$ @O)R POSITIONrite a brie. statement describing te purpose o. your Bob3

Individual JCQ p. 4


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PART 7 1 I(PORTANT AN% #SS#NTIA2 %)TI#S

In your own words'

• escri!e the ma'or duties you perform, starting with the most important.

• escri!e your 'o! duties as they e8ist now. Tell us what you are actually doing in the 'o!.

• "lease !e o!'ective and accurate. Try not to understate or inflate the 'o!. o not copy languagefrom the class specifications.

• Fase your responses on the typical duties and responsi!ilities of the 'o! under normal conditions, not under unusual circumstances.

• Complete this section using only permanently assigned duties. o not include duties assigned aspart of a temporary upgrade.

• se the freuency codes !elow to indicate how often you perform each duty.

35 aily, 35 eekly, 3F5 Fi6eekly, 3D5 Donthly, 3Q5 Quarterly, 3&5 &emi6$nnually, 3)5 )early

• $ppro8imate "ercentage of Time ?ive your !est estimate of the appro8imate percent of timethat each duty represents. se less than *G, then *G increments 3*G, 14G, 1*G, etc.5 up to144G.

riting %uty Statements'

uty statements should focus on primary, current, and usual duties and responsi!ilities of the

position. Belated or similar duties should !e com!ined and written as one statement. Dost 'o!s have

!etween si8 and eight 3+65 ma'or categories of responsi!ility.

uty statements typically contain three parts the Verb, the Object, and a Purpose.

#;ample'

Cerb ObBect PurposeCollects financial data to evaluate !udget reuests.E8ample statement - collect financial data to evaluate !udget reuests.

Compiles statistical data for distri!ution to administrators.E8ample statement - compile statistical data for distri!ution to administrators.

rives truck to deliver fuel to various 'o! sites.E8ample statement - drive a truck carrying motor fuel to various 'o! sites.

Individual JCQ p. 5


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%escribe your maBor duties ere3 @ou must include at least one duty statement'

%uty Important and #ssential %uties$requency

-odeAppro;3 D o.

time

0

5

7

6

9

Individual JCQ p. 6


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%uty Important and #ssential %uties$requency

-odeAppro;3 D o.

time

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Individual JCQ p. 7


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PART 6 – E#N#RA2 IN$OR(ATION

PRIN-IPA2 -*A22#NE#S

03 Identi.y te most di..icult problem!s& you are required to solve in order to accomplisyour Bob3

53 %escribe te most comple; duty!ies& you are required to per.orm in order to accomplisyour Bob3

A)T*ORIT@ AN% R#SPONSI,I2IT@

03 at typical decisions does tis position ave total autority to makeF

53 at typical decisions does tis position recommend to oters .or actionF

73 o reviews or cecks your workF

63 en is your work reviewedF

G#@ -ONTA-TS

Individual JCQ p. 8


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9ften employees must go to sources to accomplish such tasks as gathering information, o!tainingadvice, or ensuring coordination. These sources are considered key contacts and can occur inside oroutside the organiHation. Contacts may !e individuals 3!y title5, or groups 3task force, committees,etc.5.

#;ample'

Gey -ontact Purpose $requency

$gency C


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(ark te bo; .or eac .unction tat applies to your position !ceck all tat apply&3

$ %ot $pplica!le I no financial responsi!ilities

F Fudgets I responsi!le for setting and controlling a !udget

C Fudgets I has input into setting a !udget

Fudgets I responsi!le for staying within an assigned !udget

E ?rants I research;application< ?rants I management

? "urchase 9rder $uthoriHation

A "6Card Coordinator

- "6Card ser

J 9ther 3escri!e5

(ark eac dollar amount below wit te letter o. te corresponding responsibility you

indicated above !A4 ,4 -4 etc3&3 @ou must mark a dollar amount .or any .inancial responsibility

you indicated above !oter tan Not ApplicableJ&3

@ in the !lank ne8t to >K*44,441 to K1,444,444 annually@. )ou may place more than

one letter in one !lank if needed to accurately reflect your financial responsi!ilities.

up to K1,444 annually K2*4,441 to K*44,444 annually

K1,441 to K*,444 annually K*44,441 to K1,444,444 annually

K*,441 to K14,444 annually K1,444,441 to K*,444,444 annually

K14,441 to K*4,444 annually K*,444,441 to 14,444,444 annually

K*4,441 to K144,444 annually over K14,444,444 annually

K144,441 to K2*4,444 annually

Individual JCQ p. 10


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PART 9 1 8O,1R#2AT#% H)A2I$I-ATIONS

GNO2#%E#4 SGI22S AN% A,I2ITI#S

2ist te Gnowledge4 Skills4 and Abilities tat are needed to per.orm te Bob duties listed in Part7 o. tis 8-H3 @ou must provide at least tree !7& Gnowledge4 Skill and Ability statements3

Knowledge 6 Befers to information, facts, and procedures.Skills 6 9ften involve manual operations or tasks that reuire repeated practice, precision, or speed3e8amples typing, machine operations, and pu!lic speaking5. Ability I Capacity to perform an action or task 3e8amples include interpretation, analysis, andcommunication5.

#SS#NTIA2 GNO2#%E#4 SGI22 AN% A,I2IT@ STAT#(#NTS

0

5

7

6

9

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PART : – ORGINE -ON%ITIONS

Indicate ow o.ten tis position is e;posed to or working under te conditions listed below3

(ark te appropriate column below wit an KJ !-oose one .or eac row&3

orking -onditionNot

Applicable

In.requent!less tan5 ours

daily&

$requent!51: ours

daily&

-ontinuous!:1= ours

daily&

&itting

&tanding

alking

Beaching

#ifting 3specific ma8 weight in pounds5

Fending

Clim!ing

ust

9dors,


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PART < – #%)-ATION L #KP#RI#N-##%)-ATION

at (INI()( level o. education do you tink is necessary .or a worker to per.orm te dutieso. your BobF

(ark your response to te question below wit an KJ in te column on te rigt !coose onlyone&3

#ducation Required

Bead and rite;%o specific reuirements

Aigh &chool iploma or euivalent 3?.E..5

&upplemental training 3vocational or completionof some college courses5


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2ist any licenses4 registrations4 or certi.ications you tink sould be required or pre.erred .ortis position3

2icense+-erti.ication+Registration Required Pre.erred

PART = – S)P#RCISOR@ %)TI#S

%o you supervise or act as lead worker o. any employeesF

(ark te appropriate bo; below wit an KJ3

)E& 3even if occasionally5

C9%T-%E with "art 7

%9

&L-" "art 7 6 proceed to "art 14 on "age 1+

PART > – S)P#RCISOR@ %)T@ H)#STIONS

(ark te de.inition tat best describes te type o. supervision you e;ercise3 -oose only oneand mark te appropriate bo; below wit an KJ3

irect &upervision 6 )ou are responsi!le for the administration of line personnelfunctions including employee selection, discipline, and formal performance

evaluations.

#ead orker 6 )ou are responsi!le for assigning, scheduling, coordinating,organiHing, and directing work activities.

Select te .requency tat best .its te maBority o. your time3 -oose only one and mark teappropriate bo; below wit an K3J

aily $s %eeded

eekly "ro'ect Fasis 9nly

Donthly -n &upervisor=s $!sence

Indicate te number o. employees you supervise in eac category below3 @ou must enter anumber .or at least one category o. employees3



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o. your position3 Include any speci.ic issues associated wit your Bob duties tat you do nottink were adequately captured on tis .orm3

#(P2O@## SIENAT)R#

,y signing tis document I certi.y tat all te in.ormation provided in tis 8-H is true andcomplete to te best o. my knowledge3 I understand tat providing any .alse in.ormation maybe grounds .or disciplinary action3 I .urter certi.y tat I am te individual wo personallysupplied te in.ormation in te employee portion o. tis 8-H3

MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMM MMMMMMMMMM#mployee Signature %ate Time

MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMM Print @our Name Pone Number

en you are .inised4 please make a copy o. tis 8-H .or your records and ten .orward te8-H to your immediate supervisor3



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!9P05;4!75 50;40W !0CT47

%o NOT leave any questions in tis section blank/

Carefully review the completed employee Jo! Content Questionnaire to !e sure it gives a completeand accurate picture of the position responsi!ilities, 'o! reuirements, and working conditions.

%o you agree tat te employees questionnaire provides a complete and accurate descriptiono. te BobF

(ark te appropriate bo; below wit an KJ3

)es %9

I. NO4 provide a detailed e;planation3

In your words4 wat is te primary .unction or purpose o. tis position in relation to temission4 goals and obBectives o. te agencyF



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at do you consider tis positions most important responsibility or per.ormance resultF

Oter general comments related to tis position3

S)P#RCISOR SIENAT)R#

,y signing tis document4 I certi.y tat all te in.ormation provided in tis 8-H is true andcomplete to te best o. my knowledge3 I understand tat providing any .alse in.ormation maybe grounds .or disciplinary action3 I .urter certi.y tat I am te individual wo personallysupplied te in.ormation in te Supervisors portion o. tis 8-H3

Print @our Name MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM

MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMM MMMMMMMMMMSupervisors Signature Time %ate

MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMM #mail Address Pone Number

en you ave completed your review4 please make a copy o. te completed 8-H .or yourrecords and ten .orward tis 8-H to te %ata #ntry %esignee .or your agency3 I. you do not



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know wo tis is and+or ow to reac tem4 please contact your Agency *uman Resourcesrepresentative .or tat in.ormation3 I. your agency does not ave a %ata #ntry %esignee4.orward tis 8-H to your Agency *uman Resources representative3

A&0C2 $98A 50!795C0!


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-apitol -omple; ,uilding : Room 6?6-arleston4 C 597?9

di id l

jcq final individual blank word 97 to 2003

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