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#24-004373-0002
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 possess one year of experience providing independent reviews and interpretation of applicable laws and regulations?

Yes No
 

If yes, please include name of employer, job title, dates of employment, hours worked per week and SPECIFIC JOB DUTIES relating to this experience below. This information must also be reflected in your application.
If you do not possess experience in this area, put N/A in the box below.

2.

Do you possess one year of experience providing technical assistance related to Child Welfare and/or Adult Service programmatic audits?

Yes No
 

If yes, please include name of employer, job title, dates of employment, hours worked per week and SPECIFIC JOB DUTIES relating to this experience below. This information must also be reflected in your application.

If you do not possess experience in this area, put N/A in the box below.

3.

Do you possess six months of experience with the development and execution of plans of actions to include providing recommendations?

Yes No
 

If yes, please include name of employer, job title, dates of employment, hours worked per week and SPECIFIC JOB DUTIES relating to this experience below. This information must also be reflected in your application.

If you do not possess experience in this area, put N/A in the box below.

4.

Do you possess six months of experience reviewing financial statements to ensure propriety of invoices in accordance with professional standards and generally accepted auditing standards?

Yes No
 

If yes, please include name of employer, job title, dates of employment, hours worked per week and SPECIFIC JOB DUTIES relating to this experience below. This information must also be reflected in your application.
If you do not possess experience in this area, put N/A in the box below.


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