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#21-004919-0004
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

Please describe your State employee relations experience including employer name, dates of employment, and job duties.  If you do not have this experience please enter N/A. 

2

Please describe your experience conducting settlement conferences and/or mediation in the public sector including employer name, dates of employment, and job duties.  If you do not have this experience please enter N/A. 

3

Please describe your experience with first or second step administrative conference experience concerning grievance disputes and disciplinary actions including employer name, dates of employment, and job duties.  If you do not have this experience please enter N/A. 


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