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#24-001797-0002
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 preparing food involving the cooking of meats and vegetables and the preparation of salads and beverages in an institutional setting such as hospitals, nursing homes, universities, or correctional facilities. Include in your response the employer name(s), the dates of employment, and hours worked. If you do not possess this experience, please indicate N/A.

3.

Do you possess a High School Diploma/GED?

Yes No
4.

Do you possess a ServSafe Certification?

Yes No
5.

Do you have one year of experience working in the Federal Child Nutrition Program (CNP) program? Include in your response the employer name(s), the dates of employment, and hours worked. If you do not possess this experience, please indicate N/A.


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