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#24-002556-0001
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.

Do you possess at least three years of experience supervising youth in a structured environment, such as in a recreation center or school setting, or in a juvenile services facility or community program. If so, please include the employer name, dates of employment, and hours worked per week. If you do not have this experience, type N/A.

2.

Please describe your experience supervising youth in a juvenile facility. Provide the dates of employment, hours per week worked, and the name of the employer. If you do not possess this experience, enter N/A.

3.

Please describe your knowledge of the processes and procedures of the juvenile court system. Provide the dates of employment, hours per week worked, and the name of the employer. If you do not possess this experience, enter N/A.


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