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#20-002589-0008
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

Describe your knowledge of and/or experience with applicable federal and state privacy laws and accreditation standards, and monitoring advancements in information privacy technologies.

This experience must also be included on your application. Please be sure to include name of employer, job title, dates of employment and hours worked per week. If you do not possess experience in this area, indicate N/A.

2

Describe your experience with conducting various types of reviews and investigations (i.e., HIPAA breaches, employee misconduct, procurement).

This experience must also be included on your application. Please be sure to include name of employer, job title, dates of employment and hours worked per week. If you do not possess experience in this area, indicate N/A.

3

Describe your experience developing written materials in order to convey information about technical and/or complex Privacy and Corporate Compliance projects, activities and functions.

This experience must also be included on your application. Please be sure to include name of employer, job title, dates of employment and hours worked per week. If you do not possess experience in this area, indicate N/A.


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