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#20-003235-0016
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

Do you have supervisory experience? If yes, please describe in detail and include name of employer(s) where you gained this experience, dates of employment, and relevant job duties. If no, please enter N/A.

2

Describe how your employment experience has required you to implement programs, ensure program compliance, and ongoing program monitoring.  If you do not possess this experience please enter N/A.

3

Describe your experience processing tax credits or other complex financial programs including employer name and dates of employment? If you do not possess this experience please enter N/A.

4

Describe your experience filing complex reports including employer name and dates of employment? If you do not possess this experience please enter N/A.


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