Official SealDepartment of Budget and Management


#24-002418-0012
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

Do you possess a Bachelor's Degree from an accredited college or university?

Yes No
2

Do you possess a Master's degree in Health Sciences, Health Care Administration, Public Health, Public Policy or closely related field?

Yes No
3

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.

4

Describe your experience with public health administration and strategic planning.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

5

Describe your experience in project and performance management, grant development and administration.

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.

6
Describe your professional experience in the Maternal Child Health field, especially with improving maternal health and equity.
 
This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.
7

Describe your technical writing experience.  Include in your answer the employer name(s) and dates of employment.  If you do not possess this experience, please indicate by entering N/A.


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