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#18-004020-0005
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 one year of experience in food preparation in a large scale food operation of a commercial, institutional or other establishment?. If Yes, please include the duties performed, name(s) of employer(s) and dates of employment. If you do not possess this experience, please enter N/A.

5.

Have you completed a culinary training program through high school or a culinary school? If you answered yes please provide the name of the school and the year of completion.If you have not received any training, please enter N/A.

6.

Did a Department of Public Safety and Correctional Services employee refer you to this position?

Yes No
7.

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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