**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 an Associates Degree in Medical Records Sciences?
Yes
No
2
In which field of study is your degree? If you do not have a degree, enter N/A.
3
Describe your experience compiling and maintaining health records.
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.
4
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.
5
Describe your experience directing the operations of a large hospital (200+ patients).
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.
6
Describe your experience with electronic records systems (i.e., planning, organizing, managing health records systems).
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.
Department of Budget and Management