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.

I certify that I am a Registered Dietitian Nutritionist (RDN) or Registered Dietitian (RD) and have a Registration ID number issued by the Commission on Dietetic Registration. I understand that a copy of my Commission on Dietetics Registration card is required to be submitted by the final filing date.

If you answered yes to the prior question, provide your Registration ID number and state of Registration (e.g., CA). If you answered no to the prior question, enter N/A.