***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit.**
1
Do you possess a doctoral degree from an accredited academic institution in microbiology. molecular biology or realted life science discipline?
Yes
No
2
Describe your experience supervising a CLIA compliant clinical laboratory.
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.
3
Describe your experience working in a biosafety 3 laboratory.
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.
Candidates must be able to obtain medical clearance to wear N95 and/or PAPR respiratory devices as required to perform testing in the Biosafety Level 3 laboratory.
4
Do you possess medical clearance to wear a N95/PAPR respirator?
Yes
No
5
Can you qualify under the federal CMS regulations (42 CFR § 493.1443) to function as an off-site clinical laboratory director for one of the MDH regional laboratories performing high complexity testing?
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