**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 a Bachelor's degree in Nursing, Social Work, Psychology, Education, Counseling or a related field?
Yes
No
2.
What is the major field of study for your bachelor's degree? If you answered "No" to the previous question, please enter N/A in the box.
3.
Do you possess a Master's or Doctorate degree in a health or human service field from an accredited college or university? If YES, in what field is your degree?
4.
Describe your professional experience in health services. Health services is defined as experience in areas other than Mental Health, Developmental Disabilities or Addictions.
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 at the supervisory or managerial level.
Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess experience in this area, put N/A in the box below.
6.
Describe your experience in data management, analysis, and visualization for public health decision making and program development.
This experience must be identified in the Work Experience section of the application, including dates and hours worked and a description of the job duties performed. If you do not possess this type of experience, please indicate N/A in the text box.
7.
Describe your experience with research and/or systematic inquiry, including working with Institutional Review Boards (IRB's), large datasets, preparing and publishing data, and producing reports.
This experience must be identified in the Work Experience section of the application, including dates and hours worked and a description of the job duties performed. If you do not possess this type of experience, please indicate N/A in the text box.
8.
Describe your experience with integrating community and participant input into program measurement, reporting, and dissemination.
This experience must be identified in the Work Experience section of the application, including dates and hours worked and a description of the job duties performed. If you do not possess this type of experience, please indicate N/A in the text box.
9.
Describe your experience working with past colleagues and teams in project data organization, brainstorming, and other collaborative efforts involving the management of data-related efforts.
This experience must be identified in the Work Experience section of the application, including dates and hours worked and a description of the job duties performed. If you do not possess this type of experience, please indicate N/A in the text box.
Department of Budget and Management