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#24-002586-0045
Supplemental Questionnaire

Last Name
First Name
1.

Please describe your military training and/or experience in Military leadership, Senior Non-Commissioned Officer duties, Non-Commissioned Officer duties, Drill Instructor, Tech Instructor or similar training. Please indicate the name of the employer, dates of employment of where this experience was obtained and number of hours worked per week.  If you do not have this experience, please indicate N/A.

2.

Describe your supervisory experience providing supervision to multiple employees.  Include employer, duties, dates of employment, number of hours worked per week and number of employees supervised.  If no experience, indicate N/A.

3.

Please describe your experience providing supervision to at-risk youths.  Please include employer, duties, dates of employment and number of hours worked per week.  If no experience, indicate N/A.

4.

Do you have a valid driver’s license with less than 5 points, in order to operate a state vehicle?

Yes No

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