**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 a Bachelor's degree in Nursing, Social Work, Psychology, Education, Counseling or a related field?
Yes
No
2.
What is the major field of study for your bachelor's degree? If you answered "No" to the previous question, please enter N/A in the box.
3.
Describe your professional experience in health services. Health services is defined as experience in areas other than Mental Health, Developmental Disabilities or Addictions.
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.
4.
Describe your experience at the supervisory or managerial level.
Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess experience in this area, put N/A in the box below.
5.
Do you possess one (1) year experience developing and implementing Emergency Preparedness Plans?
Yes
No
6.
If you responded YES to the above question, please describe your experience developing and implementing Emergency Preparedness Plans.
This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week).
7.
Do you have one (1) year experience with disaster response activities?
Yes
No
8.
If you responded YES to the above question, please describe your experience with disaster response activities.
This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week).
Department of Budget and Management