Official SealDepartment of Budget and Management


#18-005483-0010
Supplemental Questionnaire

Last Name
First Name
1.

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

Yes No
2.

Do you possess a bachelor's degree from an accredited college or university in business, communications, or a mathematics related major?  If so, please indicate field of study in the box below.  If no, please write N/A.

3.

Describe your experience in the field of public health.

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


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