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#17-004491-0009
Supplemental Questionnaire

Last Name
First Name

 

Please note that your answer on the supplemental questionnaire must correspond to the information that is provided on your resume to receive credit.


1

Are you a current employee of the MDH, Office of Systems, Operations and Pharmacy?

Yes No
2

Do you possess a Bachelor's Degree in Information Systems or related field?

Yes No
3

What field is your bachelor's degree in?

4

Describe your experience managing IT staff.

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 in information technology.

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.

6

Describe your experience in Medicaid and MMIS.

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.


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