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#19-000876-0001
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.***


1

Do you possess experience supervising housekeeping and custodial activities at a State institution or public building?

Yes No
2

Describe your experience supervising housekeeping and custodial activities at a State institution or public building.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.


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