**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.
Which of the following best describes your education and experience?
(Your selection should also be reflected in the information that you provide on your application through your education and work experience. You will not receive credit for inconsistent information.)
I possess a Doctorate degree in Health Planning, Public Health, Health Science, Hospital Administration or Health Care Administration AND one year of professional experience in health planning.
I possess a Master's degree in Health Planning, Public Health, Health Science, Hospital Administration or Health Care Administration AND four years of professional experience in health planning.
I possess a Bachelor's degree in Health Planning, Public Health, Health Science, Hospital Administration or Health Care Administration AND five years of professional experience in health planning.
I possess a Bachelor's degree in another field AND six years of professional experience in health planning.
I am using a different substitution as defined in the minimum qualifications (i.e., experience in health and hospital administration, a State Health Planning and Development Agency, or a Health Systems agency).
I do not possess any of the education or experience mentioned above.
2
General health planning experience as required is defined as experience obtained in a professional capacity in an operation established solely for the delivery/evaluation of health services (e.g. Hospitals, H.M.Os, Insurance Companies). Such experience must have been the primary purpose of the position during the time in question. Health planning duties which are performed only incidentally are not considered qualifying. Having read the above information, please answer the following questions.
3
Describe your professional experience in health planning.
Please include name of employer, job title, dates of employment, and hours worked per week for each relevant position. If you do not have this experience, put N/A in the box below.
4
Do you possess certification as a Certified Business Continuity Professional (CBCP)?
Yes
No
5
Describe your knowledge of and experience with current or best practices with State and federal business continuity guidance and laws to MDH business continuity plans, protocols, and procedures.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.
6
Describe your ability to provide training, guidance, and technical assistance to MDH units on the application, evaluation, and monitoring of COOP (Continuity of Operations Planning).
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.
7
Describe your ability to participate in drills, exercises, and activations and operation of the MDH command center.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.
Department of Budget and Management