Official SealDepartment of Budget and Management


#19-004216-0019
Supplemental Questionnaire

Last Name
First Name

 

Below you will find supplemental questions relating specifically to this position.  These questions provide the hiring manager with details regarding your education and experience that relate specifically to duties of the position.  Applications that do not include a completed supplemental questionnaire, or refer the reviewer to the application form/attachments, may be considered incomplete and could be subject to disapproval.

Answers received on the supplemental questionnaire must correspond to the information provided on the application, including name of employer, dates of employment, and hours worked per week.  


1

Describe in 1-3 paragraphs, your knowledge/experience of Tuberculosis.

Do not copy and paste from your resume. 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.

2

Describe in 1-3 paragraph(s), your experience with phlebotomy (drawing blood).

If you do not possess experience in this area, enter N/A. Do not copy and paste from your resume. Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. 

 

3

Describe in 1-3 paragraph(s), your experience with case management (e.g. ability to follow up on appointments and referrals).

If you do not possess experience in this area, enter N/A. Do not copy and paste from your resume. 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 in 1-3 paragraph(s), your experience working with foreign born population.

Do not copy and paste from your resume. 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.


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