**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.
Describe your professional experience assisting in the coordination of a health-related program or referring people to governmental and private resources.
This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.
2.
Do you possess a Bachelor's degree or higher from an accredited education program in a human service field?
Be sure to include this on your application in the Education section. You may also upload your transcript(s) to the application.
Yes
No
3.
Do you possess an Associate's degree from an accredited education program AND two years experience in a human services field?
Be sure to include this on your application in the Education section. You may also upload your transcript(s) to the application.
Yes
No
4.
Describe your experience working in a human services 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.