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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.***


Are you a current employee of the Harford County Health Department?

Yes No

Do you possess a current license as an Environmental Health Specialist issued by the Maryland Board of Environmental Health Specialists? 

Yes No

If you answered "yes", please provide your license number and expiration date below.  You may also submit a copy of your license or license verification with your application.


Describe your experience performing inspections and investigations to ensure compliance with environmental health laws and regulations. 

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.


Do you possess at least one year of supervisory experience?

Yes No

Please describe your supervisory experience.  Include employer name(s), job title(s), dates of employment, and titles of those you supervised.  If you do not possess this experience, enter N/A.

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