**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.**
Please ensure your responses to the following supplemental questions are documented in the spaces provided for each question. This includes dates of employment and employer information. Otherwise, you will not receive credit for the questions.
1.
Do you possess a bachelor's degree from an accredited college or university?
Yes
No
2.
Do you possess one of the following? (Please select one answer).
Bachelor's degree from an accredited college or university in Health Planning, Public Health, Health Science, Hospital Administration, or Health Care Administration.
Master's degree or Doctorate degree from an accredited college or university in Health Planning, Public Health, Health Science, Hospital Administration, or Health Care Administration.
I do not fit in either category.
General health planning experience as required is defined as experience obtained in a professional capacity in an operation established solely for the delivery/evaluation of health services (e.g. Hospitals, H.M.Os, Insurance Companies). Such experience must have been the primary purpose of the position during the time in question. Health planning duties which are performed only incidentally are not considered qualifying. Having read the above information, please answer the following questions.
3.
Do you have at least three years of experience in Health Planning? If yes, please explain in the field below. Include employer, job title, complete dates of employment and hours worked per week.
If no, then type N/A.
4.
Describe your experience planning, developing and conducting drills and exercises on the local, regional, state or federal level.
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.
5.
Describe your familiarity and/or experience with the Homeland Security Exercise and Evaluation Program (HSEEP).
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.
How would you describe your writing skills? Please give some examples of writing tasks that you have completed in your previous jobs.
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.
7.
Describe your experience which demonstrates your use of effective communication skills. Include name of employer, dates of employment and job duties. Indicate where this experience is referenced on your application. If no experience, indicate N/A.
8.
Describe your experience responding to actual emergencies.
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.
9.
Do you possess a valid driver's license? Do you have reliable transportation, available to you at all times?
Department of Budget and Management