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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.***


Please indicate which unit you are applying for (select box below)

Unemployment Insurance Benefits (Statewide)
Unemployment Insurance Contribution Unit (Baltimore City)

Do you currently have possession of a bachelor's degree from an accredited four-year college or university?

Yes No

 Do you currently have two years using Microsoft Office?

Yes No

Do you possess the ability to speak, write, translate fluently from Spanish to English, and English to Spanish?


Yes No

Do you have experience as the first-point-of-contact in a private or government human services organization?  If so,  please describe your experience with regularly greeting, welcoming, or interacting in-person with the public, and/or drop-in clients.  If you do not have this experience, indicate N/A.


I understand that it will be necessary to contact my current employer to determine and verify my qualifications and work history.


YES, I authorize the Maryland Department of Labor to contact my current employer as part of my employment process.
NO, I prefer that the Maryland Department of Labor do not contact my current employer at

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