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#21-001038-0002
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.

Are you a current State of Maryland employee?

Yes No
2.

Describe your experience in food production or service in an institutional setting such as hospitals, Child nutrition programs including school lunch or day care centers, nursing homes, universities or correctional facilities. Please include the name of employer, dates of employment, job duties, and hours worked per week. If you do not have this experience, type N/A

3.

Do you possess a Degree in degree in nutrition, dietetics, food and hospitality management, food service management, culinary arts, institutional administration or a closely related major?

Yes No

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