Official SealDepartment of Budget and Management


#21-002909-0013
Supplemental Questionnaire

Last Name
First Name

 

Please note that your answer on the supplemental questionnaire must correspond to the information that is provided on your resume to receive credit.


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

Describe your healthcare operation experience (acute care, long term care, psychiatric care) in support services especially Maintenance, Housekeeping, Security, and Environment of Care.

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

Describe your experience at a managerial or supervisory 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.

5

Describe your experience managing one or more hospital or residential care facility support services units or departments.

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.


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