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#19-000501-0005
Supplemental Questionnaire

Last Name
First Name
1.

Do you currently work at the Department of Human Services?

Yes No
2.

If you answered yes to question one, please indicate which office you are located at, the address, and your job title. This information must be reflected in your application. If you do not work at the Department of Human Services, please write N/A.

3.

Describe your experience working with children and/or families.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  If you do not have this experience, put N/A in the box below.

4.

Please describe in detail, your experience using Microsoft Office Word to create documents and/or reports. Please include the name of your employers, dates of employment and hours worked per week. This information must be reflected on your application. If you do not have this type of experience, please indicate N/A.

5.

Please describe in detail, your experience using Google Mail/Calendar and/or the Maryland Children's Electronic Social Services Information Exchange System (MD CHESSIE). Please include the name of your employers, dates of employment and hours worked per week. This information must be reflected on your application. If you do not have this type of experience, please indicate N/A.

6.

Please describe in detail, your experience explaining information and interacting with internal and external customers. Please include the name of your employers, dates of employment and hours worked per week. This information must be reflected on your application. If you do not have this type of experience, please indicate N/A.

7.

Do you possess a valid motor vehicle license in the State of Maryland in order to transport customers to appointments, etc.? ''Yes'' or ''No'' Radio Buttons.

Yes No

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