**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 have a Bachelor's degree from an accredited college or university?
Yes
No
2
What field of study is your bachelor's degree in?
3
Describe your professional health or human service experience.
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 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.
5
Describe your experience overseeing public health program administration; program planning and evaluation; managing grants/contracts; working with budgets and tracking expenditures; and understanding evidence-based public health resources.