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#18-004200-0003
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 60 credits from an accredited college or university with at least 15 credits in health services, human services, education or the behavioral sciences?  Please note, you must submit your transcript(s) with the application.

Yes No
2.
If yes, please list the required coursework (fifteen credits in health services, human services, education or the behavioral sciences) in the space below using the following format.  If no, please indicate N/A. You may also attach a copy of your official or unofficial transcripts to your application:
 
Example:  Course Number   Title                                    Credits Earned
                    PSY 101          Introduction to Psychology             3.0 
 
*This information will be verified upon employment.  

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