Official SealDepartment of Budget and Management


#20-000213-0023
Supplemental Questionnaire

Last Name
First Name
1

This position is limited to current employees of the Carroll County Health Department only.

Are you a current employee of the Carroll County Health Department?

Yes No
2

Do you possess a current certification as a Peer Recovery Specialist from the Maryland Addictions Professionals Certification Board (MAPCB)?  If so please attach a copy with your application.

Yes No
3

 Please describe your experience working with the public.

4

Describe your experience working in a health or medical setting.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.


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