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#24-002595-0004
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.

This recruitment is limited to current employees of the State of Maryland. Are you a current employee?

Yes No
2.

Do you possess current Maryland Correctional Training Commission (MCTC) certification?

Yes No
3.

Describe your experience providing case management services to emotionally or socially maladjusted, delinquent, victimized, or exceptional juveniles in a community or residential setting. Include employer name(s), job title(s), and dates of employment.  If you do not possess this experience, enter N/A.

4.

Describe your experience exercising supervisory responsibility over other staff providing services to youth.  Include employer name(s), job title(s), dates of employment, and titles of those you supervised and explain your supervisory duties.  If you do not possess this experience, enter N/A.


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