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#20-000215-0001
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

This recruitment is limited to current employees of the Kent County Health Department.  Are you a current employee of the KCHD?

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

Are you able to document that you have been in a state of recovery from a substance use, mental health or co-occuring disorder for at least 2 years?

Yes No
4

Describe your experience completing multiple tasks in a high-volume office environment.

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.

 

5

Describe your experience gathering and interpreting data, and communicating desired outcomes.

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.


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