Official SealDepartment of Budget and Management


#19-005571-0001
Supplemental Questionnaire

Last Name
First Name
1.

Do you have 60 credit hours from an accredited college or university with a minimum of 12 credit hours in mental health, health, human services, education, or related behavioral sciences including six (6) credit hours in psychology, counseling, addictions or mental health?  Please upload transcripts to application.  Unofficial transcripts are acceptable.
Yes No

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