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.**

Do you possess a Bachelor's degree in Nursing, Social Work, Psychology, Education, Counseling or a related field?

What is the major field of study for your bachelor's degree? If you answered "No" to the previous question, please enter N/A in the box.

Describe your professional work experience related to the support services and programs for developmentally disabled clients.

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.

Describe your professional knowledge and experience with DDA Waiver services.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.

Describe your knowledge of and experience with assessments and disabilities, as they relate to eligibility determinations.

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.

Please describe your supervisory experience.  Include employer name(s), job title(s), dates of employment, and titles of those you supervised.  If you do not possess this experience, enter N/A.

Please describe experience in which you had to utilize written and oral communication skills.