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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. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


Do you have experience performing the functions of a Correctional Officer I (4080) or equivalent classification in a jurisdiction with reciprocity per the MD Correctional Training Commission?

Yes No

If Yes, please list the agency/jurisdiction where you worked, your job title(s), your dates of employment, and your job duties. If you do not have this experience, please enter N/A.

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