Official SealDepartment of Budget and Management

Supplemental Questionnaire

Last Name
First Name

Please describe your experience in each of the following areas.  Indicate employer name and dates of service.  If you do not have this experience, indicate "N/A."

  • supervision of employees
  • overseeing and coordinating general operations of a unit
  • applying rules and regulations
  • developing policies and procedures

In the space below, please describe your commercial lines experience working with or for an insurance company.  Please indicate employer name and dates.  If you do not have this experience, indicate "N/A."


Using the space below, please outline how you may meet any and all of the preferred qualifications for this position.  Indicate qualification, your experience, name of employer, and dates for each.  If you do not possess ANY of the preferred qualifications, please indicate "N/A."

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