Department of Budget and Management

**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.**

Do you have either a Bachelor's or Master's degree in art, dance, music, therapeutic recreation or recreation with a major in therapeutic recreation from an accredited college or university?

If yes, please list the school attended, major and year degree was received.  If no, please indicate n/a.

Describe your experience performing art therapy, music therapy, dance therapy or therapeutic recreation therapy work in the treatment of mentally ill, aged, physically ill or physically disabled patients or developmentally disabled clients.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in your application.  If you do not have this experience, put N/A in the box below.

Do you possess one year of experience performing art therapy, music therapy, dance therapy or therapeutic recreation therapy work in the treatment of mentally ill, aged, physically ill or physically disabled patients or developmentally disabled clients AT THE SUPERVISORY LEVEL?

If yes, please describe that experience in the box below.

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.

Describe your experience working with both adolescents and adults who have mental health illness diagnoses.

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.

Describe your experience in TJC and CMS documentation standards for Therapeutic Recreation Services.

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.

Describe your experience supervising other therapeutic recreators in psychiatric facilities.

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.