Official SealDepartment of Budget and Management


#17-001376-0058
Supplemental Questionnaire

Last Name
First Name

 

**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

Please note that this position entails exposure to written description and photographic images of human bodies/body parts with and without injury.  This position also involves dealing with the emotional aspects of death and dying such as speaking with grieving family members over the telephone.

Are you able to perform these duties?

Yes No
2

Describe your experience performing clerical duties.

Please include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must be reflected in your application.  If you do not have this type of experience, put N/A in the box below.

3

Describe your professional experience/knowledge of medical terminology.

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

Please describe your experience in maintaining electronic and physical filing systems?  If no experience, indicate N/A.

5

Describe your record processing experience.  If no experience, indicate N/A.


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