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#19-003210-0006
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.***


1
  1. Please indicate which DVOP preference criteria you have:

qualified serve connected disable veterans

qualified eligible veterans

qualified eligible person {38 U.S.C.4101(5)}

qualified serve connected disable veterans:
qualified eligible veterans; and
qualified eligible person {38 U.S.C. 4101(5)}
none of the above
2.

Do you possess one year of experience providing services in a case management environment to veterans? If yes please explain the experience in this area. Include in your response the duties performed,employer names(s),and dates of employment. If you do not possess this experience, please write N/A

3.

If yes, please explain. Include job duties, place of employment, dates and hours worked per week.  If you do not possess this experience put N/A in the box below.


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