**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 in Nursing, Social Work, Psychology, Education, Counseling or a related field?
Yes
No
2.
What is the major field of study for your bachelor's degree? If you answered "No" to the previous question, please enter N/A in the box.
3.
Describe your professional experience related to the treatment and services for mentally ill patients. 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.
4.
Describe your experience working with individuals receiving services in the Public Behavioral Health System.
With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position. This experience must also be reflected in the "Work Experience" section of your application. If you do not have this experience, put N/A in the box below.
5.
Describe your knowledge of the roles and responsibilities of the Local Behavioral Health Authority (LBHA).
With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position. This experience must also be reflected in the "Work Experience" section of your application. If you do not have this experience, put N/A in the box below.
Department of Budget and Management