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#21-000939-0001
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

Have you possessed Maryland Police and Correctional Training Commission (MPCTC) Academic Instructor Certification for at least two years? If yes, please provide dates of certification, including date of receipt and date of expiration, as well as where certification was received. If no, please enter N/A.

2

Do you have experience preparing and reviewing legal documents, testifying in court and serving in an official capacity? If yes, please provide the name of employer, dates of employer, hours worked per week, and all relevant job duties. If no, please enter N/A.

3

Do you have experience with professional correctional associations and organizations? If yes, please list the names of the associations and organizations, including the type and level of your involvement. If no, please enter N/A.


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