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#18-003210-0001
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.***
1.

Candidates must meet one of the following DVOP preference criteria for selection. Please indicate which DVOP preference criteria you have:
Qualified serve connected disable veterans
Qualified eligible veterans
Qualified eligible person {38 U.S.C. 4101(5)}
None of the above
2.

Do you have a Veterans Administration Letter of Disability Rating dated within the last six months? (If yes please submit a copy with this application).
Yes No
3.

Do you possess one year of experience providing services in a case management environment to veterans?
Yes No
 

If yes, please explain your experience in this area. Include in your response the duties performed, employer name(s), and dates of employment. If you do not possess this experience, please write N/A.

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