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#17-000839-0003
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.***


1.

Do you possess a bachelor's degree in the field of Criminal Justice, Criminology, Law Enforcement or an allied health (such as Nursing, Pharmacy, Psychology, Social Work, Nutrition, Dietetics, Speech Pathology, Audiology)?

Yes No

2.

If yes, please submit a copy of your transcripts showing the required courework with your application.


3.

Describe your experience conducting criminal investigations including the preparation of analyses and reports for use in legal proceedings.

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.

Describe your experience planning, performing case reviews, and conducting thorough analyses necessary to properly prepare a case for prosecution and/or an alternative resolution.

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

5.

Describe your experience with investigations of complaints lodged against health practitioners for fraud, misconduct or incompetence by patients, other practitioners, attorneys and other individuals.

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


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