**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 from an accredited college or university in Public Health Education, Community Health Education or Health Science?
Yes
No
2.
If you do nothave a Bachelor's degree in Public Health Education, Community Health Education, or Health Science, do you have a minimum of 18 credits hours in Public Health Education, Community Health Education, Health Science, or a related behavioral science?
If you answered "yes" to this question, a copy of your transcripts (official or unofficial) must be submitted with your application to receive credit.
Yes
No
3.
If yes, please list the required coursework (18 credit hours in Public Health Education, Community Health Education, Health Science or related behavioral science) in the space below using the following format. You must also attach a copy of your official or unofficial transcripts to your application:
Example: Course Number Title Credits Earned
HEA 317 Community Health Interventions 3.0
* This information will be verified upon employment
4.
Do you posses a master's degree in public health or a related field from an accredited college or university?
Yes
No
5.
What field of study is your master's degree in?
6.
Describe your experience planning, developing, implementing and promoting health education projects.
Include name of employer, job title, dates employed, and hours worked per week for each position that demonstrates this experience. If you do not have this experience, put N/A in the box below.
7.
Describe your experience planning, developing, implementing and/or evaluating youth-focused public health programs.
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.
8.
Describe your experience managing grants and issuing contracts and/or procurements.
This experience must also be included on your application. Please be sure to include name of employer, job title, dates of employment and hours worked per week. If you do not possess experience in this area, indicate N/A.
9.
Describe your experience working with budgets and tracking expenditures.
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.
10.
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.
11.
Describe your experience with, and/or knowledge of, community and public health best practices, including youth empowerment and capacity building.
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.
12.
Describe your experience with tobacco control or closely related field.
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.
Department of Budget and Management