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#17-001441-0001
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.

Describe your experience supervising workers and activities in an institutional, commercial, or industrial food service operation.

Please include name of employer, job title, job titles of those you supervised, dates of employment, and hours worked per week for each relevant position.  If you do not have this experience, put N/A in the box below.


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