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#19-001563-0006
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

This recruitment is limited to current employees of the Anne Arundel County Department of Health.  Are you a current employee of the Anne Arundel County Department of Health?

Yes No
2

Do you possess a current license as a Certified Associate Counselor-Alcohol and Drug (CAC-AD) from the Maryland Board of Professional Counselors and Therapists?

Yes No
3

If you answered Yes to the previous question, please provide the license number and expiration date in the box below.  A copy of your current license or license verification should also accompany your application.


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