**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.
Describe your work experience providing health and disease prevention information to medically underserved populations in the community and assisting them in adopting healthy behaviors. This information should also be reflected in your application.
If you do not possess this type of experience, indicate N/A in the text box below.