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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.


Do you possess at least 18 months of employment experience? If so, please include the name of the employer, dates of employment, job duties and hours worked per week. If you do not have this experience, type N/A.


Do you possess an Associates Degree or higher in a related field (i.e., Criminal Justice, Social or Behavioral Sciences)? If so, please explain. If you do not possess a degree in a related field, type N/A.


Have you successfully completed pre-screening with the Maryland Department of Juvenile Services withing the past 12 months? 

Yes No

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