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#24-002418-0011
Supplemental Questionnaire

Last Name
First Name

 

**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 experience evaluating, analyzing, researching and developing health care services, systems, policies and programs.

This experience must also be reflected in your application. If you do not possess this type of experience, please indicate N/A.

2

Describe your experience with project management and working in a team-based environment where assignments may come from different members of the management team.

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.

 

3

Describe your experience working with different stakeholders and communication on health-policy related issues.

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.

4

Describe your experience with communication, both oral and written. Include what type(s) of audience(s) with whom you communicate.


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