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#19-002586-0053
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.

Do you have at least one year of experience applying federal and state laws and regulations pertaining to workforce development and financial management?

Yes No
2.

If you answered "Yes" to the previous question, please describe this experience in the field below.  Include in your answer employer name(s) and dates of employment.  (If you do not possess this experience, enter N/A.)

3.

Do you have at least one year of experience involving grant funded nonprofits?

Yes No
4.

If you answered yes to the question above, please describe your experience. Include name(s) of employer, job title, dates of employment and hours worked per week.  If you do not possess experience in this area, put N/A in the box below.

5.

Do you have at least one year of experience with Federally funded programs under DLLR?

Yes No
6.

If you answered "Yes" to the previous question, please describe this experience in the field below.  Include in your response the duties performed, employer name(s), and dates of employment.  (If you do not possess this experience, enter N/A.)

7.

Do you have a Bachelor's degree from an accredited college or university with concentration in business administration, public administration, or nonprofit management? If yes, please list your degree and the name of the college/university. If no, please enter N/A.


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