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#24-002615-0001
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 at least one (1) year of experience cooking, baking or preparing large quantities of food in a restaurant, institutional or military setting? If you have this experience, also include the name of the employer and dates of employment and hours worked per week as documented on your application. If you do not have this experience, please enter N/A.

2.

Do you possess at least three (3) years of experience in the preparation of food involving the cooking of meats and vegetables; the preparation of salads and beverages in an institutional setting, such as hospitals, nursing homes, universities or correctional facilities? If you have this experience, also include the name of the employer and dates of employment and hours worked per week as documented on your application. If you do not have this experience, please enter N/A.

3.

Do you possess a current ServSafe Certification?  If yes, please provide the date you were issued the ServSafe Certification

4.

Do you possess at least one (1) year of experience in the Federal Child Nutrition Program (CNP) program? Include name of employer, job title, job duties, dates employed, and hours worked per week where you worked with this program. If you do not have this experience, please enter N/A.


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