Official SealDepartment of Budget and Management


#13-999999-683
Supplemental Questionnaire

Last Name
First Name
1

Do you hold a Bachelor's Degree, Master's Degree or 36 credit hours of post-baccalaureate coursework in Education, Library Science, School Library Media or a related area?

Yes No
2

Please describe in the box below your professional experience administering programs in an educational or library setting.  Please list employers and dates of employment, clearly indicating the number of years of this experience.

3

Please describe in the box below your experience working with people with disabilities in an education or libarary setting.  If this does not apply to you please mark N/A in the box.

4

Please describe in the box below the experience and knowledge you have working with text book industry publishers.  If this does not apply to you please mark N/A in the box.

5

Please describe in the box below your experience as it pertains to alternate forms of textbooks or instructional materials as well as translation of textbooks for disabled populations.  If this does not apply to you please mark N/A in the box.

6

Please describe in the box below your experience working with post secondary educators and students.  If this does not apply to you please enter N/A in the box

7

In the box below please describe what type of experience you have had with project management and meeting strict deadlines.  If this does not apply to you please mark N/A in the box.

8

In the box below please describe your experience having supervised staff.  If this does not apply to you please mark N/A in the box.


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