Official SealDepartment of Budget and Management


#20-002052-0003
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.***


1a.

Do you possess two years of experience monitoring agency compliance and/or enforcing COMAR regulations in a human service agency.?

Yes No
1b.

If yes, please include name of employer, job title, dates of employment, hours worked per week and SPECIFIC JOB DUTIES relating to this experience below. 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.

2a.

Do you possess four years of experience in Child Welfare programs?

Yes No
2b.

If yes, please include name of employer, job title, dates of employment, hours worked per week and SPECIFIC JOB DUTIES relating to this experience below.  Please name the Child Welfare program(s) involved with your experience. 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.

3a.

Do you possess two years of experience creating and submitting written reports or evaluations?

Yes No
3b.

If yes, please include name of employer, job title, dates of employment, hours worked per week and SPECIFIC JOB DUTIES relating to this experience below. 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.


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