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#17-002609-0010
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 a current Maryland Department of Juvenile Services Employee?

Yes No
2.

Please describe your experience with planning and supervising the performance of employees' work and provide the dates of employment and the name of the employer where you performed this responsibility.  (If you do not possess this experience, enter N/A.)

3.

Please describe your experience with planning and supervising the performance of employees' work within a secure juvenile residential setting and provide the dates of employment and the name of the employer where you performed this responsibility. (If you do not possess this experience, enter N/A.)


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