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#20-002587-0002
Supplemental Questionnaire

Last Name
First Name

 

**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

This position is limited to current employees within the Prevention and Health Promotion Administration (PHPA) of the Maryland Department of Health.

Are you a current employee within the Prevention and Health Promotion Administration? 

This information will be verified prior to employment.

Yes No
2

Describe your experience working with public health programs which relate to health promotion, health education and/or prevention.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

3

Describe your experience managing grants and working with budgets and tracking expenditures.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

4

Describe your experience with tobacco control or closely related field.

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.

5

Describe your experience developing detailed solicitations for grants and/or contracts which provide public health programming.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.


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