**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
Do you possess a Bachelor's degree in Nursing, Social Work, Psychology, Education, Counseling or a related field?
Yes
No
2
Please outline the work or experience you have which includes support services and programs for individuals with intellectual disabilities and/or other developmental disabilities. Detail duties and the dates these duties were performed. Give specific details.