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#21-002418-0010
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 experience evaluating, analyzing, researching and developing health care services, systems, policies and programs.

This experience must also be reflected in your application. If you do not possess this type of experience, please indicate N/A.

2

Describe your knowledge of and/or experience with health policy.

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.

3

Describe your professional experience which demonstrates your writing, research and project management skills.

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.

4

Describe your professional experience which demonstrates your use of effective communication skills, both oral and written. 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.


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