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#19-004514-0002
Supplemental Questionnaire

Last Name
First Name
1.

Describe your experience in crisis intervention.  Include place of employment, dates and job duties.  If no experience, indicate N/A.

2.

Describe your one year of experience working in public child welfare and/or adult welfare. Please include name of employer, job title, dates of employment, and hours worked per week. This information must be reflected in your application. If you do not have this type of experience, please indicate N/A.

 

3.

Describe your experience using MD CHESSIE database or equivalent software. Please include name of employer, job title, dates of employment, and hours worked per week. This information must be reflected in your application. If you do not have this type of experience, please indicate N/A.


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