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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 describe your experiences implementing outreach and engagement techniques with diverse populations from underserved and underrepresented demographic areas. If you do not have any experience, enter N/A.



Are you bilingual? If you answered Yes, please explain in the box below. 


Please describe your experience working with grassroots community organizations, government and/or non-government agencies. If you do not have this experience, enter N/A.



Please describe your familiarity and/or experience with the local underserved communities in and around the state of Maryland. If you are not familiar and/or do not have this experience, enter N/A.


Are you flexible/available to work evenings and weekends?


Yes No

Please describe your experience in working with challenging people, and what experience you have with conflict resolution?  If you do not any experience, enter N/A.



Please describe your public speaking experience, and how comfortable you are speaking to public audiences?  If you do not have this experience, enter N/A.



Please describe any formal training you possess with organizational skills, time management, and task management skills. If you do not possess any formal training, enter N/A. 

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