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#26-005188-0001
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.

Are you willing to accept Contractual employment with the State of MD?
Yes No
2.

Do you have a Bachelor's degree in the disciplines of Theology, Religious Studies, or Sacred Studies from an accredited institute? 
Yes No
3.

Please describe your ministerial experience working in a Correctional Setting with various faith groups. To receive credit, include the name of employer(s) and dates of employment when you performed these duties. If you do not have this experience, enter N/A.

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