Department of Budget and Management

**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.**

Describe your professional experience in health services.

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.

Describe your professional work experience related to the support services and programs for developmentally disabled clients. 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.

Describe your experience working with service coordinators, providers and advocates.  This experience must also be included on your application.  If you do not possess this type of experience, please indicate N/A in the text box.

Describe your experience/working knowledge of Individual Plan and Budgets (IP&B).  This experience must also be included on your application.  If you do not possess this type of experience, please indicate N/A in the text box.