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#21-002941-0004
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

Describe your experience working with vulnerable youth in the Baltimore City community.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

2

Please describe your experience using Word, PowerPoint and Excel to perform work. Include in your response the duties performed, employer name(s), and dates of employment. If you do not possess this experience, enter N/A.

3

Describe your experience networking and utilizing youth-focused social media.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

4

Describe your experience conducting needs assessments.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

5

Describe your health services experience at the managerial or supervisory level. Please include name of employer, job title, titles of those you supervised, dates of employment, and hours worked per week.  This information must also be reflected in your application. 

If you do not possess experience in this area, put N/A in the box below.


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