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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.***


Do you possess a Bachelor's degree from an accredited college or university?

Yes No

If you answered Yes to question 1, please list your degree and the name of the college/university in the box below.  If you do not have a Bachelor's degree, please enter N/A.


Do you have  experience in Title VII (Civil Rights Act and ADA) issues? If you answered Yes, please describe in detail the specific experience you have had working with Title VII issues.  Please include employers and dates of employment.  If you do not have this experience, please enter N/A.


Do you have experience with EEO and Fair Practices policies and procedures? If so, please elaborate on how you have used it at your present or previous job. If you do not possess this experience, please write N/A.

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