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#22-005475-0007
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.***


1.

Do you have a bachelor's degree from an accredited college or university?

Yes No
2.

Do you have eight or more years of professional experience implementing an equal employment opportunity program and ensuring adherence to fair practice standards to include administration of programs for persons with disabilities and policy implementation, YES or NO?  If you answer YES, please describe your experience in detail including where and when you received this experience.  If you do not possess this experience, please type N/A below.


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