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#19-004820-0001
Supplemental Questionnaire

Last Name
First Name
1.

Describe your experience responding to inquiries, calculating program eligibility or counseling and advising persons concerning employee benefits in the public or private sector.

Please indicate name of employer, job title, dates of employment and number of hours worked per week (this experience should be reflected on your application to receive credit).  If you do not possess this experience, indicate N/A in the box below.

2.

Describe your experience interacting with participants that are in the State of Maryland's Employee and Retiree Health Benefits Program.  Include job title, employer, job duties and dates of employment.  If no, experience indicate N/A.

3.

Describe your experience working in a call center. Please include name of employer, job title, dates of employment and hours worked per week. If you do not possess this type of experience, indicate N/A.

4.

Please describe your experience in employee benefits.  Include job title, employer, job duties and dates of employment.  If no, experience indicate N/A.

5.

Describe your experience using a Human Resources Information System (HRIS).  Include job title, employer, job duties and dates of employment.  If no, experience indicate N/A.

6.

Describe your experience using a help desk ticketing system.  Include job title, employer, job duties and dates of employment.  If no, experience indicate N/A.

7.

Describe your experience with MS Office and Google Mail.   Include job title, employer, job duties and dates of employment.  If no, experience indicate N/A.


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