**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?
Yes
No
2
If you answered Yes to Question #1, please specify the area in which you earned your degree. If you do not have a Bachelor's Degree, please enter N/A.
3
Do you possess a Master's degree in the field of Public Health from an accredited college or university with a minimum of three graduate courses in Epidemiology and one graduate course in Biostatistics? If yes, please submit a copy of your transcripts (transcripts may be unofficial) with your application. Failure to include your transcripts may result in disqualification.
Yes
No
4
Describe your administrative staff or professional work experience.
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.
5
Describe your experience with the following: the supervision of other employees, overseeing and coordinating the general operations of a unit, applying rules and regulations, or exercising responsibility for the development of policies or procedures.
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.
6
Describe your experience working as an epidemiologist, performing data manipulation and analyses, including directing epidemiological studies and analysis.
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.
7
Describe your experience supervising and leading a team in epidemiological investigations and integrating those investigations into a broader public health program.
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.
8
Describe your demonstrated public health experience at either the federal, state or local level.
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.
9.
Describe your experience working in a high pressure setting with time-sensitive demands. Include name of employer, job title, dates of employment and hours worked per week. This information must also be reflected in your application. If no experience, indicate N/A.
Department of Budget and Management