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#18-004377-0002
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 in Accounting from an accredited college or university, or a bachelor's degree from an accredited college or university with 30 credit hours in accounting and related courses, including 3 credits in auditing?

(If Yes, then please upload a copy of your transcript)

Yes No
2.

Do you possess at least five years of experience conducting financial and operational internal audits that include elements for finance and compliance, economy and efficiency, and program results?

Yes No
3.

If you answered "Yes" to the previous question, please describe this experience in the field below.  Include in your answer employer name(s) and dates of employment.  (If you do not possess this experience, enter N/A.)

4.

Describe your auditing or investigative experience.

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 experience with Medical Assistance or health care insurance billing or auditing.

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.

6.

Please explain your experience and level of proficiency using Microsoft Excel. If you do not have this experience, please enter N/A.


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