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#21-001991-0006
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

This position is limited to current employees of the Howard County Health Department.

Are you a current Howard County Health Department employee?

Yes No
2

This position requires weekend and evening availability, as needed. Will you be available to work weekends and evenings, as necessary?

Yes No
3

Do you possess a current license as a graduate (LGSW/LMSW) or certified (LCSW) social worker from the Maryland Board of Social Work Examiners OR will you be sitting for the exam within the next 90 days?

Yes No
4

Please provide your license number and expiration date OR the date you will be sitting for the exam. Not providing this information may result in disqualification.

5

Describe in 1-3 paragraph(s), your experience with youth outreach and engagement.

Do not copy and paste from your resume. Please include name of employer, job title, 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.

6

Describe in 1-3 paragraph(s), your knowledge of crisis de-escalation techniques.

Do not copy and paste from your resume. Please include name of employer, job title, 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.

7

Describe in 1-3 paragraph(s), your experience with managing content for social media platforms.

Do not copy and paste from your resume. Please include name of employer, job title, 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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