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#17-002586-0053
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

Are you able to travel to any of the Maryland counties of Caroline, Cecil, Dorchester, Kent, Queen Anne's, St. Mary's, Somerset, Talbot, Wicomico and Worcester daily, or as often as needed, to fulfill the duties of this position?

Yes No
2

Describe your experience conducting inspections and/or investgations for law enforcement, health, food, or drug enforcement, or other related experience with local, State or tribal government.

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

3

Describe your professional experience with data collection for reporting purposes.

Include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must be reflected in your application.  If you do not have this experience, put N/A in the box below.


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