	Human Capital Management

	#210331-K11A-01
	Supplemental Questionnaire


Last Name	First Name

Do you have any of the following?

bachelor's degree

four (4) years of professional or technical disability determination experience in the adjudication of Social Security disability claims in a designated state agency

a combination of college coursework AND professional-level experience in adjudicating Social Security disability claims in a designated state agency that totals four (4) years

none of the above