**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 one of the following? (Please select one answer).
Bachelor's degree from an accredited college or university in Health Planning, Public Health, Health Science, Hospital Administration, or Health Care Administration.
Master's degree or Doctorate degree from an accredited college or university in Health Planning, Public Health, Health Science, Hospital Administration, or Health Care Administration.
I do not fit in either category.
2
Do you possess a Bachelor's degree in another field other than described above?
Yes
No
3
If you responded YES to the above question, what field is your Bachelor's degree in?
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.
4
Do you have at least three years of experience in Health Planning? If yes, please explain in the field below. Include employer, job title, complete dates of employment and hours worked per week.
Department of Budget and Management