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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.**



Please describe your experience preparing food involving the cooking of meats and vegetables; the preparation of salads and beverages in an institutional setting such as hospitals, nursing homes, universities or correctional facilities.  If you have this experience, also provide the name of the employer and dates of employment and hours worked per week where you performed these functions.  If you do not have this experience, please enter N/A.


Describe your computer skills.

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.


Describe your knowledge of and/or experience with HACCP (Hazard Analysis Critical Control Point) principles and processes.

This experience must also be included on your application.

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