Official SealDepartment of Budget and Management


#19-001721-0001
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 possess a Bachelor's degree from an accredited college or university in Nursing, Social Work, Psychology, Education, Counseling or a related field?  If you respond YES to this question, please upload your transcript to the application.

Yes No
2

Describe in 1-3 paragraph(s), your professional work related experience to treatment and development of mentally ill patients.

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.

3

Describe your experience at the supervisory or managerial level.

Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess experience in this area, put N/A in the box below. 

4

Describe your experience working with transition age youth and young adults.  This experience should also be included in your application.  If you do not possess this type of experience, indicate N/A in the text box below.

5

Describe your experience with grant and contract monitoring.

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.

6

Describe your knowledge of and/or experience with Medicaid and the Public Behavioral Health System.

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.


Powered by JobAps