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#21-004907-0003
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 possess one or more years of employee or labor relations experience representing management before an administrative law judge in hearings at the Office of Administrative Hearings, or similar adjudicatory setting, that involves all types of grievance and disciplinary appeal cases, including terminations, on a regular and recurring basis?

Yes No
2

If yes, please include name of employer, job title, dates of employment, hours worked per week and specific job duties relating to this experience below. (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.

3

Do you possess one or more years of experience in Employee Relations?

4

If yes, please include name of employer, job title, dates of employment, hours worked per week and specific job duties relating to this experience below. (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.

5

Do you possess coursework from an accredited college or university in Employment Law, Labor Law or Administrative Law?

6

If yes, please list the school, the name of course(s) and the number of credits earned for passing the course(s) in the box below. If you do not possess coursework in this area, put N/A in the box below.


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