Official SealDepartment of Budget and Management


#24-002419-0006
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 have a bachelor's degree from an accredited college or university?

Yes No
2

Do you possess a Master's degree in Public Health from an accredited college or university?

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 expertise and experience in project and performance management, project direction, and grant development and administration.

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

5
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.
6

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.


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