offical seal
Human Resources Department
#18-443030-01


Supplemental Questionnaire

Last Name First Name
 

 

This Supplemental Questionnaire will be used to determine applicants’ qualifications for this position and assess an applicant’s ability to advance in the recruitment process; therefore, applicants are encouraged to answer all questions thoroughly and completely.  Omitted information will not be considered or assumed.  Applicants who have no experience in a specific area are recommended to state "no experience in this area" instead of leaving the space blank.

Please note that the experience in your answers must be reflected in your employment history.


1

Describe your experience interviewing people for the purpose of gathering information to complete VA claims forms. Please include any specific experience related to obtaining information on their experiences and personal health conditions that could lead to filing a claim with the VA.

2

Describe your experience completing Veterans benefits and/or medical forms.

3

Describe your experience communicating with social services and/or other support agencies to obtain information on behalf of a Veteran.