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#0319-EH2100-EX
Supplemental Questionnaire

Last Name
First Name

 

Supplemental questionnaire is a required part of the application. When answering the questions below related to your experience, please provide a detailed description that includes the name of your employer, dates of employment, and your job title. These questions may be reviewed by the screening panel in evaluating your qualifications.

 


1.

Provide a summary of your fiscal management experience in a public sector environment. What was your role and responsibility? Include an organizational chart with your employment application packet.

 

2.

Describe your experience developing and implementing fiscal controls to ensure compliance with State and Federal funding requirements.

 

3.

Describe your budget experience, including the size and complexity of the budget, and your level of responsibility.

 

4.

Describe your experience working with local, state and federal legislation and regulations relevant to the fiscal operations of health care services.