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#19-002378-0006
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.***


1

Do you have 30 semester credit hours in one or more of the following subjects: English, journalism, public relations, writing or other similar and related areas of study? If YES, please explain what classes you took. 

2

Are you bilingual in English/Spanish?

Yes No
3

Describe your experience working in a communications/outreach/marketing capacity in the following industries: Health care and Health Insurance - Affordable Care Act (ACA). Please include name of employer, job title, dates of employment, and hours worked per week. This information must be reflected in your application. If you do not have this type of experience, please write N/A.

4

Describe your experience creating/supporting partnerships with community organizations.  Please include name of employer, job title, dates of employment, and hours worked per week. This information must be reflected in your application. If you do not have this type of experience, please write N/A.


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