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#24-000525-0003
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. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


1.

Are you a current Maryland Department of Juvenile Services employee?

Yes No
2.

Please describe your experience in food production or service in an institutional setting such as hospitals, child nutrition programs including school lunch or daycare centers, nursing homes, universities, or correctional facilities. Please provide the name of the employer where you gained this experience, job duties, dates of employment and hours worked per week. If no experience, indicate N/A.

3.

Do you possess a degree in nutrition, dietetics, food and hospitality management, food service management, culinary arts, institutional administration, or a closely related major? If so, please include the type of degree below. If you do not have any of these degrees, indicate N/A.


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