Official SealHuman Resources


#161206-212010-001
Supplemental Questionnaire

Last Name
First Name
 

Please check the highest level of education obtained to date:
High School Diploma
Associate's Degree: rehabilitation counseling, disability studies, nursing, the social sciences, or a related field
Bachelor's Degree: rehabilitation counseling, disability studies, nursing, the social sciences, or a related field
Master's Degree: rehabilitation counseling, disability studies, nursing, the social sciences, or a related field
 

Do you have 3 or more years of professional level experience as an ADA Coordinator, Disability Rights Coordinator, Rehabilitation Counselor or closely related position?
Yes No
 

Describe your direct experience as it relates to the position.
 

Do you possess a valid Driver's License?
Yes No