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 experience in health services which includes professional work related to the treatment and development of behavioral health (substance abuse and mental health).

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

Do you possess a professional license in Social Work or Addictions? If YES, please indicate the type of license, license number and expiration date in the text box.