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#15-005478-0008
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 full credit. Applications that do not include a supplemental questionnaire will be considered incomplete and may be subject to disapproval. ***


1.

Do you have at least one year of experience administering grant programs to nonprofit organizations, governments and/or local jurisdictions?

Yes No
2.
If you answered Yes to Question #1, please explain in detail your experience including dates and places of employment.  If you do not have this experience, enter N/A.
3.

Do you have at least one year of experience troubleshooting issues relating to homelessness and/or self-sufficiency programs?

Yes No
4.

If you answered Yes to Question #3, please explain in detail your experience including dates and places of employment.  If you do not have this experience, please write N/A.


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