Official SealDepartment of Budget and Management


#22-002942-0006
Supplemental Questionnaire

Last Name
First Name

 

Below you will find supplemental questions relating specifically to this position.  These questions provide the hiring manager with details regarding your education and experience that relate specifically to duties of the position.  Applications that do not include a completed supplemental questionnaire, or refer the reviewer to the application form/attachments, may be considered incomplete and could be subject to disapproval.

Answers received on the supplemental questionnaire must correspond to the information provided on the application, including name of employer, dates of employment, and hours worked per week.  


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

Describe your experience working routinely with HIV PrEP.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.

6

Describe your experience with HIV/STI prevention.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.

7

Describe your experience working with the LGBTQIA community, unstably housed populations, adolescents, persons with criminal justice involvement, and/or persons actively engaging in substance use.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box. 

8

Describe your experience performing quality assurance and program evaluation.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.

9

Describe your knowledge of and/or experience with federal partner services procedures.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.

10

Describe your knowledge of and/or experience with data collection and management.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.

11

Describe your experience leading and coordinating meetings with staff in leadership positions.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.

12

This position requires travel throughout the State of Maryland. Are you willing to meet this requirement?

Yes No

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