Official SealDepartment of Budget and Management


#20-000503-0001
Supplemental Questionnaire

Last Name
First Name
1.

Do you have one year of experience in goal planning?  If yes, please list the name of employer, job duties, dates of employment and hours worked per week.  This information must be reflected in your application.  If you do not have this type of experience, please indicate N/A.

 

2.

Do you have one year of experience working with vulnerable children or adults?  If yes, please list the name of employer, job duties, dates of employment and hours worked per week.  This information must be reflected in your application.  If you do not have this type of experience, please indicate N/A.

 

3.

Do you have one year of experience using Microsoft Office or Gmail?  If yes, please list the name of employer, job duties, dates of employment and hours worked per week.  This information must be reflected in your application.  If you do not have this type of experience, please indicate N/A.

 

4.

Do you have one year of experience with transporting or assisting clients in obtaining transportation to medical appointments or community centers?  If yes, please list the name of employer, job duties, dates of employment and hours worked per week.  This information must be reflected in your application.  If you do not have this type of experience, please indicate N/A.

 

5.

Do you have one year of experience explaining information to internal or external customers?  If yes, please list the name of employer, job duties, dates of employment and hours worked per week.  This information must be reflected in your application.  If you do not have this type of experience, please indicate N/A.

6.

Do you possess a CNA license or GNA license?

Yes No

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