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#24-001376-0041
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.

Describe your experience performing clerical duties in an office environment.

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.

2.

Describe your experience working with a diverse population in a public health setting that is high volume and quick paced.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

 

3.

Describe your knowledge of and/or experience with public entitlement programs.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

4.

Bilingual applicants are encouraged to apply. Please state below which languages you are able to speak/write fluently. 

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.


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