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#19-001905-0012
Supplemental Questionnaire

Last Name
First Name
1.

Please describe in detail, your experience writing and interpreting policies, or your experience in the delivery of state wide trainings for a human service program. Please include the name of your employer, dates of employment, and hours worked per week. If you do not have this type of experience, please indicate N/A.      

2.

Please describe in detail, your experience assessing training needs for Family Investment Administration or a human service program. Please include the name of your employer, dates of employment, and hours worked per week. If you do not have this type of experience, please indicate N/A.

3.

Please describe in detail, your experience designing and implementing training material for FIA or a human service program. Please include the name of your employer, dates of employment, and hours worked per week. If you do not have this type of experience, please indicate N/A.

4.

Please describe in detail, your experience coordinating, planning, developing, monitoring, evaluating and assessing FIA or a human service program's training needs. Please include the name of your employer, dates of employment, and hours worked per week. If you do not have this type of experience, please indicate N/A.

5.

Please describe in detail, your experience in the following FIA programs such as: Supplemental Nutrition Assistance Program, Temporary Assistance for Needy Families, Temporary Disability Assistance Program and Public Assistance to Adults. Please include the name of your employer, dates of employment, and hours worked per week. If you do not have this type of experience, please indicate N/A.

6.

Please describe in detail, your experience using Microsoft Office Suite - Word, Excel, and PowerPoint to create presentations and reports. Please include the name of your employer, dates of employment, and hours worked per week. If you do not have this type of experience, please indicate N/A.

7.

Please describe in detail, your experience in or knowledge of using the eligibility rules associated with Modified Adjusted Gross Income (MAGI) Medical Assistance, Non-MAGI Medical Assistance and the Child Care Scholarship Program (CCSP). Please include the name of your employer, dates of employment, and hours worked per week. If you do not have this type of experience, please indicate N/A.


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