Official SealDepartment of Budget and Management


#19-001905-0007
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 possess six months of experience in the collection, compilation, classification and tabulation of data?

Yes No
2.

If yes, please include name of employer, job title, dates of employment, hours worked per week and specific job duties relating to the experience mentioned above. (This employment should also be reflected on your application.)

If you do not possess experience in this area, put N/A in the box below.

3.

Do you possess one year of experience with Excel computer software?

Yes No
4.

If yes, please include name of employer, job title, dates of employment, hours worked per week and specific job duties relating to the experience mentioned above. (This information should also be reflected on your application.)

If you do not possess experience in this area, put N/A in the box below.

5.

Do you possess one year of experience in a Child or Family Services program?

Yes No
6.

If yes, please include name of employer, job title, dates of employment, hours worked per week and specific job duties relating to the experience mentioned above. (This employment should also be reflected on your application.)

If you do not possess experience in this area, put N/A in the box below.

7.

Do you possess a bachelor’s degree with a major in the areas of Human Services, Social Work or Psychology?

Yes No
8.

If you answered yes to the question above, please list the degree, major and the name of college/university. If you answered no, please enter N/A.


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