Official SealDepartment of Budget and Management


#19-005482-0014
Supplemental Questionnaire

Last Name
First Name
1.

Describe your experience in budget management and the dollar amount of budget(s) you have managed.  Include employer and dates of employment.  If no experience, indicate N/A.

2.

Are you fluent in American Sign Language?  

Yes No
3.

Describe your experience in planning, administering, developing or delivering programs for the deaf, hard of hearing, deafblind individuals and/or individuals with disabilities.  Include employer, job duties, dates of employment and level of involvement.  If no experience, indicate N/A.

4.

Describe your experience in performing public outreach and community organization for the deaf, hard of hearing, deafblind individuals and/or individuals with disabilities. If no experience indicate N/A.

5.

Describe your experience working in a relay environment.  Also, describe your knowledge and the level of proficiency you have with specialized technology including relay services, telecommunications equipment, assistive listening systems, and other assistive technology including set up, utilizing, troubleshooting and training on equipment as well as making relay calls. Please include employer, dates of employment and your level of involvement.  If no experience, indicate N/A.


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