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#17-002020-0001
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 possess a bachelor's degree from an accredited college or university in business, communications, or a mathematics related major?  If so, please indicate field of study in the box below.  If no, please write N/A.

2.

Describe your administrative or professional experience.

Please include name of employer, job title, dates of employment, and hours worked per week.  This information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below. 

3.

Do you possess at least 30 semester credit hours of graduate level education from an accredited college or university?

Yes No
4.

Do you have at least one year of experience working with committees or Boards, interpreting statute and regulations, and/or analyzing applications and determining eligiblity?

Yes No
5.

If you answered "Yes" to the previous question, please describe this experience in the field below. What was your job title in performing these duties and list the name of the employer, employment dates, and hours worked per week.  If you do not have this experience, please enter N/A.

6.

Please describe your experience with Microsoft Word.  IMPORTANT: Provide related job duties, hours worked per week, employer name(s), and dates of employment.  If you do not have this experience, indicate N/A.


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