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#19-002043-0041
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

Please describe your experience supervising lower-level administrative and clerical staff. Your response should include the titles (or levels) of the employees you supervised, as well as the name(s) of the employers where this experience was gained.  If you do not possess this type of experience, please write N/A.

2

Describe your knowledge of Medicaid or other government assistance program.

Do not copy and paste from your resume. 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.

3

Describe your experience which demonstrates your use of effective communication skills, managerial skills, leadership skills, technical skills, presentation and planning skills.  Include name of employer, dates of employment and job duties.  Indicate where this experience is referenced on your application.  If no experience, indicate N/A.

4

Are you willing to work and travel to all sites of Worcester County Health Department?

Yes No

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