Official SealHuman Resource Services Department


#15-5605-01
Supplemental Questionnaire

Last Name
First Name

 

Thank you for your interest in the position of Microbiologist.  Your completed response to this supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process.  Responses should be specific, thorough and succinct.  A lack of adequate detail in the supplemental questions and in your application may result in failure or disqualification for this recruitment.  Clarity of expression, grammar, spelling and the ability to follow instructions will be considered in the evaluation process.  A resume will not be accepted as a substitute for a thoroughly completed employment history and supplemental responses.

PLEASE NOTE: Your work experience identified in this questionnaire must also be listed in the Work Experience section of your application.


1

Graduation from an accredited college or university with a degree in medical or public health microbiology, or one of the related life sciences as may be determined by the State Department of Public Health is required for this position. Do you possess this minimum qualification?

Yes No
2

Do you possess the equivalent of six months of field experience in a public health laboratory, or the equivalent of one year experience in a clinical or hospital laboratory approved for training in Public Health Microbiology by the State Department of Public Health?

If yes, please identify the public health laboratory, your duties, and length time you performed those duties.

If NO, please type "N/A".

3

Do you possess a current Public Health Microbiologist Certification issued by the State Department of Public Health? If "Yes" please list all pertinent information related to your certification: (number, date issued, expiration date, and issuing authority)  If "NO" please type "N/A" below.

4

Please describe any additional job-related training and/or education you possess beyond that required by the minimum qualifications.


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