Attachment 20: Desirable Experience Form

NYSDOH-DON
WIC EBT Analysis Project RFP
Desirable Experience Form
(Please use additional sheets or duplicate the form as necessary to provide sufficient detail)
Bidder:
Project Lead Candidate:
THE EXPERIENCE LISTED IN THE TABLE BELOW IS DESIRABLE, BUT NOT REQUIRED.
Please use as much space as needed to describe each area of experience. Respond to each area
independently, even if that means repeating information included in the response to a previous area on
this form and/or on the Mandatory Experience form. Information provided through the candidate’s
resume and reference checks will be used to confirm information provided below.
We reserve the right to clarify any information that is unclear, as described in the Solicitation
Document.
Desirable Experience
1. Project Lead candidate’s experience developing EBT requirements and EBT
project planning documents for State WIC programs and/or experience with WIC
Program operations and/or projects related to WIC Program management
information systems used to certify clients and provide benefits. Narrative should
include, but is not limited to: description of the project(s), the candidate’s
roles/responsibilities in the project(s), description of the activities/deliverables he/she
completed, description of the types of documents he/she developed and whether or
not these documents were reviewed and/or approved by USDA.
Actual # of
Months
Experience
Actual Dates of
Employment
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2. Project Lead candidate’s experience conducting Feasibility Studies and Cost
Benefit Analyses. Narrative should include, but is not limited to: description of
project; description of the method used to: gather input from stakeholders, assess
quantifiable and non-quantifiable costs & benefits; assess organizational impact, and
complete cost analysis.
3. Project Lead candidate’s experience in government, health industry or banking
management information system project planning, including the development of
project work plans, schedules, and reports. Information to provide includes, but is not
limited to the following: Describe the project. What were the complexities of the
project? How did the candidate keep the schedule on target in terms of objectives
and time frames? Describe any delays that occurred and how they were handled.
Describe reporting requirements and the content/type of reports prepared.
Client/Project Name