Official SealDepartment of Budget and Management

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.**



Do you possess a Bachelor's degree from an accredited college or university?

Yes No

Do you possess a Master's degree in Health Sciences, Health Care Administration, Public Health or Public Policy?

Yes No

What field of study is your master's degree in?


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.

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