Official SealDepartment of Budget and Management


#19-005483-0016
Supplemental Questionnaire

Last Name
First Name

 

Below you will find supplemental questions relating to the education and experience that is required and/or preferred for this position.  The intent of the supplemental questionnaire is to provide applicants with the opportunity to elaborate on the specific education/experience possessed, as it pertains to duties of the position.  

Please provide a full answer to every question and refrain from indicating "See Resume".  Answers received on the supplemental questionnaire must correspond to the information provided on the resume, including name of employer, dates of employment, and hours worked per week. Any employment that is listed on the supplemental questionnaire but not included in the resume will not be credited. 

Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.


1

Do you have a bachelor's degree from an accredited college or university?

Yes No
2

In which field of study is your degree? If you do not have a degree, enter N/A.

3

Do you posses a Master's degree in Public Health or a related field from an accredited college or university?

Yes No
4

What field of study is your master's degree in?

5

Describe your professional health or human service experience.

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.

6

Describe your professional experience related to health services for people with developmental disabilities.

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.

7

Describe your experience that includes the supervision of professional staff and/or the management of a DD service delivery unit.

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.


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