Official SealDepartment of Budget and Management


#22-005473-0001
Supplemental Questionnaire

Last Name
First Name
1.

Do you have six years of experience in administrative or professional work?

Yes No
 

If yes is checked, please include in your response: name of employer, job duties, dates of employment and number of hours worked per week. If no experience list N/A.

2.

Do you have experience managing/supervising employees in an EEO/Fair Practices setting?

Yes No
 

If yes is checked, please include in your response: name of employer, job duties, dates of employment and number of hours worked per week. If no experience list N/A.

3.

Do you have experience monitoring compliance with Federal and State EEO Laws, regulations and policies regarding Title VII Equal Employment Opportunity and Affirmative Action (Federal and State programs); Title II ADA; Title VI, including LEP and Title 20?

Yes No
 

If yes is checked, please include in your response: name of employer, job duties, dates of employment and number of hours worked per week. If no experience list N/A.


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