Official SealDepartment of Budget and Management


#18-005188-0001
Supplemental Questionnaire

Last Name
First Name
1

Are you willing to work with multiple religious faiths other than your own?

Yes No
2

Do you possess a current Ecclesiastical/Religious endorsement from a religious affiliated body that certifies your experience and abilities in support of the following: 

*Validation of your membership and/or ordination with a recognized religious organization of one’s own faith
*Attests to one’s suitability, credentials and professionalism for supporting correctional religious services’ job functions;
*Affirms that you have no present moral barrier to conduct religious activities;
*Attests that you possess the necessary leadership abilities to conduct worship functions, sacraments, ordinances, ceremonies, rites and observances required. 

Yes No

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