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#19-005477-0026
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.***


1

 Do you have three years of experience working on the development and implementation of policies related to homelessness on the federal, state, or local level? Y/N If so, please provide sufficient details to evaluate this experience, and include employer names and dates of employment. If you do not have this experience, enter N/A.

2

Do you have knowledge of and experience with issues relating to homelessness and or self-sufficiency programs?  If so, please describhow your knowledge and experience was gained, including employer names and dates of employment. If you do not have this experience, enter N/A.

3

Do you have knowledge of and experience with nonprofit organizations, foundations or government program administration? Y/N. If yes, please provide sufficient details to evaluate this experience, and include employer names and dates of employment. If you do not have this experience, enter N/A.


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