Department of Budget and Management

#19-009014-0002
Supplemental Questionnaire

Last Name
First Name

Please indicate your American Sign Language skill level

Polite (able to greet and exchange pleasantries; indicate or understand an emergency)

Literate (understands a conversation and can respond)

Fluent (is your native language or can converse in the language as if it was your native language.)

Do not speak sign language.