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#23-005895-0006
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. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


1.

Do you have one year of professional experience in teaching and/or school based counseling?  If yes, describe your experience.  Include employer, duties and dates of employment.  If no experience, indicate N/A.

2.

Do you possess a valid Maryland State Teaching Certification with a guidance counselor endorsement?  

Yes No

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