Official SealDepartment of Budget and Management


#23-000205-0005
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 a high school diploma or a high school equivalency certificate (GED)?
Yes No
2.

If you are substituting work experience for the education requirement, please describe your experience with providing assistance to individuals in a health care or social services setting.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.
3.

Are you fluent in Spanish? 
Yes No

Powered by JobAps