Official SealHuman Resource Services Department


#17-5782-01
Supplemental Questionnaire

Last Name
First Name
 

Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the 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. Additionally, your responses will also be evaluated and used in the selection process in order to identify the best qualified applicants. 

Responses should be thorough and specific.  A lack of detail and explanation in the supplemental questions and in your application may result in failure or disqualification for this position.  Clarity of expression, content, experience, 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 properly completed responses.

Information provided in your responses to the supplemental questionnaire regarding your employment experiences must also be detailed in the Work Experience section of the application for this recruitment.  Please be sure to list all employers and required information, on your application, especially if you are referencing those employers in your responses to the supplemental questions.

The supplemental questions were designed to elicit your experience as it relates to the current recruitment in order to identify the best qualified candidates for this position.  Only the best and most suitably qualified candidates will be invited to participate in the oral interviews. 

By selecting yes below, you certify your understanding that all applicants who meet minimum qualifications are not guaranteed to move forward in the process.  Do you understand the above statement?

Yes No
1.

Which data analysis and statistical methods do you consider yourself to have sufficient expertise and proficiency in to provide consultation or oversight to other epidemiologists?  Describe the types of epidemiologic questions you have applied these methods to most frequently.

2.

Describe your overall experience leading and overseeing epidemiologic investigations and studies.  Please provide at least two specific examples of studies and include the following details in your response:

  • Disease(s) investigated
  • Scope and duration of the investigation
  • Study design or investigative steps
  • Types of questionnaires or data collection instruments
  • Interpretation of investigative results, conclusions, and public health recommendations
  • Organizations and partners involved in the investigation, including public agencies, academic institutions, and health care organizations
  • Written reports and presentations of the findings (internal reports, reports to state or federal public health agencies, peer-reviewed publications, posters, conference presentations)
  • Your role in each of the activities above
3.

Describe your experience performing in the role of an epidemiologist subject matter expert. The following details should be included in your response:

  • Types of public health or health issues requiring your epidemiologic input
  • Frequency of scientific consultation provided
  • Types of persons seeking your subject matter expertise
  • Recommendations and/or public health implications of your epidemiologic consultation
  • Any other outcomes related to your input and consultation
4.

Describe your experience overseeing the development, coordination, and/or evaluation of a disease surveillance system(s) or registry to identify and monitor health-related outcome trends relevant to communicable diseases.  If you have not conducted these activities on a system or registry, please draw on your relevant experience with other databases or information systems.

5.

Describe your experience developing, writing, obtaining and implementing grant and/or scientific research proposals. In your response, please include the following:

  • Research questions or hypotheses
  • Estimate of amount of funding requested
  • Types of funders (CDC, HRSA, NIH, Foundations, etc.)
  • Outcomes of grant proposal requests
  • Deliverables of grants obtained and status of completion

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