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#23-000194-0001
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.

Do you have experience working to ensure the safety, permanency and well-being of vulnerable children? If yes please indicate date, job, and job duties. If no, enter N/A.

2.

Do you have experience in data management and analysis? If yes please indicate date, job, and job duties. If no, enter N/A.

3.

Do you have experience with program management and coordination? If yes please indicate date, job, and job duties. If no, enter N/A.

4.

Do you have experience at the supervisory or management level? If yes please indicate date, job, and job duties. If no, enter N/A.

5.

Do you have experience conducting quantitative and/or qualitative data analyses to measure program outcomes? If yes please indicate date, job, and job duties. If no, enter N/A.


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