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#17-002247-0043
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.***


1

Please describe your experiences implementing outreach and engagement techniques with diverse populations from underserved and underrepresented demographic areas. If you do not have any experience, enter N/A.

 

2

Are you bilingual? If you answered Yes, please explain in the box below. 

3

Please describe your experience working with grassroots community organizations, government and/or non-government agencies. If you do not have this experience, enter N/A.

 

4

Please describe your familiarity and/or experience with the local underserved communities in and around the state of Maryland. If you are not familiar and/or do not have this experience, enter N/A.

5

Are you flexible/available to work evenings and weekends?

 

Yes No
6

Please describe your experience in working with challenging people, and what experience you have with conflict resolution?  If you do not any experience, enter N/A.

 

7

Please describe your public speaking experience, and how comfortable you are speaking to public audiences?  If you do not have this experience, enter N/A.

 

8

Please describe any formal training you possess with organizational skills, time management, and task management skills. If you do not possess any formal training, enter N/A. 


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