**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**
1.
Do you possess 60 credits from an accredited college or university with at least 15 credits in health services, human services, education or the behavioral sciences? Please note, you must submit your transcript(s) with the application.
Yes
No
2.
If yes, please list the required coursework (fifteen credits in health services, human services, education or the behavioral sciences) in the space below using the following format. If no, please indicate N/A. You may also attach a copy of your official or unofficial transcripts to your application:
Example: Course Number Title Credits Earned
PSY 101 Introduction to Psychology 3.0
*This information will be verified upon employment.
3.
Describe your experience conducting and overseeing activities for elderly and/or physically or mentally disabled adults.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
Department of Budget and Management