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#17-001376-0074
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.

Do you have at least one year of experience in data entry and customer service?

Yes No
2.

If you answered "Yes" to the previous question, please describe this experience in the field below. What was your job title in performing these duties and list the name of the employer, employment dates, and hours worked per week.  If you do not have this experience, please enter N/A.

3.

How many credits do you possess from an accredited college or university?  In order to receive credit for your answer below, be sure to attach/submit an unofficial, non-editable copy of your transcripts, a copy of your diploma, or a copy of your foreign degree evaluation if applicable. 

 

Please explain in detail your experience interpreting Code of Maryland Regulations (COMAR). Please include dates and places of employment.  If you do not have this experience, please write N/A.

 

Please describe your experience interpreting Vital Records' eligiblity requirements.

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


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