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COUNTY OF LOS ANGELES • DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES • DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES • DEPARTMENT OF HEALTH SERVICES
COUNTY OF LOS ANGELES • DEPARTMENT OF HEALTH SERVICES
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COUNTY OF LOS ANGELES • DEPARTMENT OF HEALTH SERVICES

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  • 1. COUNTY OF LOS ANGELES • DEPARTMENT OF HEALTH SERVICES SUPPLEMENTAL APPLICATION INFORMATION FORM Please complete and return the Supplemental Application Information Form, in addition to the standard County Employment Application, to the office shown below. Your County Application for this examination will not be processed without this form. Return to: Department of Health Services Recruiting and Examining Office 5555 Ferguson Drive, Suite 200-01 City of Commerce, CA 90022 Examination Title: Information Systems Coordinator/Security Exam No.: Y-2593-G Please Print NAME: (Last) (First) (Middle) A. TRAINING 1. List below all academic degrees received from a four year accredited college with specialization in computer/information systems, electronic engineering, electrical engineering, or in a related field. Name of Location Degree Date College/University (State) Field of Study Received Received 2. List below any courses completed at an accredited college or university, ALSO, list courses pertaining to system related majors. Units Units Name of Location Earned Earned Date College/University (State) Name of Course Semester Quarter Completed 3. List below any courses completed through your place of business or other non- accredited organizations. Name of Sponsor or Organization Length Date Name of Course Conducting Training of Course Completed 1
  • 2. SUPPLEMENTAL APPLICATION INFORMATION FORM B. EXPERIENCE: (Provide the requested information for each experience you reference). 1. Describe your experience implementing and/or supporting automated systems within a healthcare setting. Name of Organization: Job Title: Dates: From To 2. Describe your knowledge and experience in managing/implementing Checkpoint, Cisco Pix, (Gauntlet, Nokia, Netscreen, Sonicwall) firewalls, VPN concentrators, Network and Host Intrusion Detection Systems in large complex network architectures and enterprise/multi-firewall/VPN environments. Dates: From To Job Title: 2
  • 3. SUPPLEMENTAL APPLICATION INFORMATION FORM 3. Describe your experience in deployment planning, back-up and recovery plans, disaster recovery plans, configuring firewall/VPN in Fail-Over, Redundant and Load Balance mode and server hardening. Dates: From To Job Title: 4. Describe your experience in developing system documentation, operating procedures, developing training materials, writing scripts (e.g., Shell scripts) for automating administration functions. Dates: From To Job Title: 5. Describe your experience related to security incident triage to determine appropriate response to threats/attacks (including working with Firewall/VPN logs, investigating security events, protecting forensic value of data and establishing monitoring and incident reporting/response procedure). Dates: From To Job Title: 3
  • 4. SUPPLEMENTAL APPLICATION INFORMATION FORM 6. Describe your experience working with TCP/IP, IPX and VPN networking, DNS, SNMP, IPSEC, 3DES, digital certificates, PKI, SSL, RSA SecurID, Encryption Technology, Firewalls, and the latest security tools and methodology. Dates: From To Job Title: 7. Describe your network and security experience in applying Network security principles. Dates: From To Job Title: 4

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