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#19-004395-0017
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

Describe your experience with correctional services.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  If you do not have this experience, put N/A in the box below.

2

Describe your experience in determining eligiblity for governmental assistance programs, interpreting and applying policies, regulations and procedures. 

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

3

Describe your experience using Microsoft Office programs, including Word and Excel. Please make sure to include the number of years of experience, the name(s) of the employers where the experience was gained, and a description of the duties performed. Enter N/A if you do not possess this experience.

4
Do you possess a valid driver's license?
Yes No

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