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#19-002586-0008
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. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


1.

Please explain in detail, your experience in professional disaster response, including on-call response. Please give the name of your employer, job title, dates of employment and hours worked per week. If you do not have this type of experience, please write N/A.

2.

Please explain in detail, your professional experience leading the development of multi-agency disaster response plans. Please give the name of your employer, job title, dates of employment and hours worked per week. If you do not have this type of experience, please write N/A.

3.

Please explain in detail, your experience working in shelters. Please give the name of your employer, job title, dates of employment and hours worked per week. If you do not have this type of experience, please write N/A.

4.

Please explain in detail, your professional leadership experience. Please give the name of your employer, job title, dates of employment and hours worked per week. If you do not have this type of experience, please write N/A.

5.

Please explain in detail, your experience using Microsoft Office Suite - Word, Excel, and PowerPoint, including the ability to covert file types (pdf file to Word document). Please give the name of your employer, job title, dates of employment and hours worked per week. If you do not have this type of experience, please write N/A. 


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