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#19-001979-0002
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 in building maintenance or building construction trades. 

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.

2.

Describe your experience assigning, reviewing and approving the work of others and disciplining, evaluating the performance of, and recommending the hiring, firing and promoting of others. 

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.

Check the building maintenance/trades you have experience in:

Electricity
Plumbing
Carpentry
4.

Please describe your experience in electricity, plumbing and carpentry.

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.

5.

Do you have experience with maintenance operations within a psychiatric setting? If YES, please describe this experience in the text box below.

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.

6.

Do you possess a valid Maryland driver's license?

Yes No
7.

This position will be required to stay at work or respond at any time (24/7) for emergency situations. Will you be able to work at any time?

Yes No

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