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#21-001206-0002
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 one year of direct experience administering federal or state grant programs for a non-profit or government agency (Yes/No)? If so, please provide sufficient details to evaluate this experience, and include names and dates of employment. If you do not have this experience, enter N/A.

2

Do you have knowledge of and experience with issues relating to programs addressing poverty, homelessness, or serving low-income individuals and families? If so, please provide sufficient details to evaluate this experience, and include employer names and dates of employment. If you do not have this experience, enter N/A.

3

Do you have experience with non-profit organizations, foundations, or government program administration (Yes/No)? If so, please provide sufficient details to evaluate this experience, and include employer names and dates of employment. If you do not have this experience, enter N/A.


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