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Human Resources Department
#18-337180-02


Supplemental Questionnaire

Last Name First Name
 

 

This Supplemental Questionnaire will be used to determine applicants’ qualifications for this position and which will be a factor in determining whether they will continue in the recruitment process; therefore, applicants are encouraged to answer all questions thoroughly and completely. Omitted information will not be considered or assumed. Applicants who have no experience in a specific area are recommended to state "no experience in this area" or "N/A" instead of leaving the space blank.

Work experience listed in this area must also be listed in the body of the application.


1

Please describe your additional education or training in public health services, public administration and/or clinic management, if any.