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#18-004091-0003
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.

Are you at least 21 years of age, or will be within the next six months?
Yes No
2.

Are you a U.S. Citizen or Legal Resident Alien?
Yes No
3.
Do you possess a high school diploma or GED?
Yes No
4.

Do you possess a valid Maryland Driver's license? (All applicants must list their license number and date of issue on the application).
Yes No
5.

Do you have a current CDL?
Yes No
6.

Do you have one year of experience in a food, supplies and materials warehouse?
Yes No
7.

If you answered "Yes" to the previous question, please describe this experience in the field below.  Include in your answer employer name(s) and dates of employment.  (If you do not possess this experience, enter N/A.)
8.

Do you have experience using Microsoft Office Suite software applications?  Include in your response employer name(s) and dates of employment and specify the specific applications you have had experience using. If you do not possess this experience, please indicate N/A.
9.

Did a Department of Public Safety and Correctional Services employee refer you to this position?
Yes No
10.

If you answered yes to the question above, please indicate the following:

  • Referring employee's full name
  • Employee's work location/assignment

If you answered no to the question above, please enter N/A.

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