Request for Applications (RFA) Legal Assistant Developer (LAD) RFx# 3140004566
| Location: | Mississippi |
|---|---|
| Posted: | Jun 1, 2026 |
| Due: | Jun 18, 2026 |
| Agency: | State Government of Mississippi |
| Type of Government: | State & Local |
| Category: |
|
| Solicitation No: | 1651-26-R-RFQF-00004-V02 |
| Publication URL: | To access bid details, please log in. |
Procurement Details
| Smart Number | 1651-26-R-RFQF-00004-V02 | Advertised Date | 06/01/2026 8:20 AM |
| RFx # | 3140004566 | Submission Date | 06/18/2026 4:00 PM |
| RFx Status | Open | Major Procurement Category | PERSONNEL SERVICES NON-IT |
| RFx Opening Date | 06/18/2026 4:15 PM | Sub Procurement Category | |
| RFx Type | RFQ - Formal | ||
| Agency | MS DEPT OF HUMAN SERVICES | ||
| RFx Description |
The Mississippi State Unit on Aging (SUA) is seeking a Legal Assistance Developer (LAD) to oversee and strengthen the delivery of legal assistance services statewide in alignment with the Older Americans Act and Final Rule requirements.
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Contact Information
| Name | Kimbley Hendrix | KIMBLEY.HENDRIX@MDHS.MS.GOV | |
| Phone | 6013547205 | Fax |
RFx Items
| PRODUCT CATEGORY | PRODUCT DESCRIPTION |
| 94620 | Serv FinAuditing |
Awarded
| VENDOR NAME | VENDOR NUMBER | AWARD DATE | AWARD AMOUNT | FUNDING SOURCE |
Bid Attachments
|
Attachments
Application |
|
|
Attachments
RFA |
Attachment Preview
STATE OF MISSISSIPPI APPLICATION
Return Completed Application to:
For Staff/Official Use Only
Kimbley Hendrix
Mississippi Department of Human Services
Received: __________________
Division of Procurement Services 200 South
Lamar Street Jackson, MS 39201
Important! Please Read Before you begin the application process:
Applicants must complete and attach the “Supplemental Questions” page when applicable. This page is located on the MSPB
website Job Openings screen. Scroll down to the bottom of the screen and click the preferred job; when the description is displayed,
click “Print Job Information.” Applications failing to include this page or lacking sufficient information will be returned to the applicant
as invalid. Please ensure your application is received by the closing date as indicated on the job posting.
POSITION #:
-TYPE OR PRINT IN BLACK INK-
JOB INFORMATION
POSITION TITLE:
FIRST NAME
ADDRESS
PERSONAL INFORMATION
MIDDLE INITIAL
LAST NAME
CITY
STATE
ZIP
HOME PHONE
ALTERNATE PHONE
MONTH AND DATE OF BIRTH
EMAIL ADDRESS
WHICH METHOD DO YOU PREFER TO BE NOTIFIED ABOUT YOUR
APPLICATION STATUS?
EMAIL OR
PAPER
EDUCATION
WHAT IS YOUR HIGHEST LEVEL OF EDUCATION:
Some High School
Some College
Associate’s Degree
High School
Technical College
Bachelor’s Degree
HIGH SCHOOL EDUCATION
DID YOU GRADUATE FROM HIGH SCHOOL/RECEIVE A G.E.D.? YES
NO
IF NO, WHAT WAS THE HIGHEST GRADE LEVEL COMPLETED? 7
8
9 10
11 12
Master’s Degree
Specialist’s Degree
SCHOOL NAME
COLLEGE/UNIVERSITY EDUCATION
DEGREE RECEIVED
DATES ATTENDED
SCHOOL LOCATION (CITY/STATE)
DID YOU GRADUATE?
YES
NO
MAJOR
SEMESTER
QUARTER
# OF UNITS COMPLETED:
Doctorate Degree
SCHOOL NAME
DATES ATTENDED
SCHOOL LOCATION (CITY/STATE)
DID YOU GRADUATE?
YES
NO
MAJOR
DEGREE RECEIVED
SEMESTER
QUARTER
# OF UNITS COMPLETED:
SCHOOL NAME
DATES ATTENDED
SCHOOL LOCATION (CITY/STATE)
Rev 2/2012
DID YOU GRADUATE?
YES
NO
MAJOR
DEGREE RECEIVED
SEMESTER
QUARTER
# OF UNITS COMPLETED:
TYPE
LICENSE NUMBER
TYPE
LICENSE NUMBER
TYPE
LICENSE NUMBER
DATES
From
To
ADDRESS, CITY, STATE
PHONE NUMBER
HOURS PER WEEK
DUTIES
CERTIFICATES & LICENSES
DATE ISSUED (MONTH/YEAR)
ISSUING AGENCY
DATE ISSUED (MONTH/YEAR)
ISSUING AGENCY
DATE ISSUED (MONTH/YEAR)
ISSUING AGENCY
WORK HISTORY
EMPLOYER
EXPIRATION DATE (MONTH/YEAR)
SPECIALIZATION
EXPIRATION DATE (MONTH/YEAR)
SPECIALIZATION
EXPIRATION DATE (MONTH/YEAR)
SPECIALIZATION
POSITION TITLE
SUPERVISOR (NAME & TITLE)
SALARY
MAY WE CONTACT THIS EMPLOYER?
YES
NO
DATES
From
To
ADDRESS, CITY, STATE
PHONE NUMBER
HOURS PER WEEK
DUTIES
EMPLOYER
SUPERVISOR (NAME & TITLE)
SALARY
POSITION TITLE
MAY WE CONTACT THIS EMPLOYER?
YES
NO
2
Rev 3/2012
DATES
From
To
ADDRESS, CITY, STATE
PHONE NUMBER
HOURS PER WEEK
DUTIES
WORK HISTORY
EMPLOYER
SUPERVISOR (NAME & TITLE)
SALARY
POSITION TITLE
MAY WE CONTACT THIS EMPLOYER?
YES
NO
DATES
From
To
ADDRESS, CITY, STATE
PHONE NUMBER
HOURS PER WEEK
DUTIES
EMPLOYER
SUPERVISOR (NAME & TITLE)
SALARY
POSITION TITLE
MAY WE CONTACT THIS EMPLOYER?
YES
NO
3
Rev 3/2012
AGENCY WIDE QUESTIONS
1. ARE YOU CURRENTLY EMPLOYED WITH THE STATE OF MS? YES
NO
2. IF YOU ANSWERED “YES” TO THE PREVIOUS QUESTION, INDICATE WHICH AGENCY AND YOUR CURRENT JOB TITLE. (IF YOU PREVIOUSLY INDICATED
“NO”, PROCEED TO THE NEXT QUESTION.)
___________________________________________________________ _____________________________________________________________
(AGENCY NAME)
(CURRENT JOB TITLE)
3. HAVE YOU BEEN SEPRATED WITHIN THE LAST 12 MONTHS FROM THE STATE OF MS DUE TO A REDUCTION IN FORCE (RIF)? YES
NO
4. IF YOU ANSWERED “YES” TO THE PREVIOUS QUESTION, INDICATE WHICH AGENCY, YOUR PREVIOUS JOB TITLE, AND THE DATE OF YOUR RIF
SEPARATION. (IF YOU PREVIOUSLY INDICATED “NO”, PROCEED TO THE NEXT QUESTION.)
_______________________________________________ ______________________________________ ___________________________________
(AGENCY NAME)
(PREVIOUS JOB TITLE)
(DATE OF RIF)
5. ARE YOU A VETERAN OF THE ARMED FORCES? YES NO
(IF YOU INDICATED “YES”, YOU MUST ATTACH A COPY OF YOUR DD214 OR OTHER PROOF OF SERVICES.)
6. IF YOU ARE A VETERAN, WERE YOU DECLARED DISABLED? YES NO
7. ARE YOU AN ADULT MALE BORN ON OR AFTER JANUARY 1, 1960 WHO REGISTERED FOR SELECTIVE SERVICE BETWEEN THE AGES OF 18 AND 25?
YES
NO
TO MEET THE REQUIREMENTS OF FEDERAL REGULATIONS, MSPB NEEDS TO COLLECT INFORMATION ON THE QUESTIONS BELOW FOR
REPORTING PURPOSES ONLY. THIS INFORMATION WILL NOT BE USED FOR MAKING EMPLOYMENT DECISIONS. (OPTIONAL)
8. INDICATE YOUR RACE
AMERICAN INDIAN
WHITE
HISPANIC
BLACK
ASIAN
Other
9. INDICATE YOUR GENDER
MALE
FEMALE
10. AGE GROUP:
UNDER 18
18-25
26-39
40-54
55-69
70+
ADDITIONAL INFORMATION
Additional Information (other schools or training; special qualifications; honors and awards; etc.):
APPLICANT DECLARATIONS
By signing this application, I certify that all statements made herein and on any attached documents are true and complete to the best of my knowledge. I
authorize the verification of this information by the Mississippi State Personnel Board and any agency considering me for employment. I know that any
misrepresentation herein may lead to rejection of my application, removal of my name from the list of eligibles, and/or dismissal from state service. I
understand that, as a condition of employment, I will be required to present documentation which verifies both my identity and my employment eligibility
pursuant to federal immigration law.
X_________________________________________________________________
SIGNATURE OF APPLICANT
_________________________________________________
DATE
4
Rev 3/2012
SUPPLEMENTAL QUESTIONS
Applicants must complete and attach the “Supplemental Questions” page when applicable. This page is located on the
MSPB website Job Openings screen. Scroll down to the bottom of the screen and click the preferred job; when the description is
displayed, click “Print Job Information.” Applications failing to include this page or lacking sufficient information will be returned to
the applicant as invalid. Please ensure your application is received by the closing date as indicated on the job posting.
JOB NUMBER:
SCHOOL NAME
DATES ATTENDED
SCHOOL LOCATION (CITY/STATE)
ADDITIONAL WORK HISTORY
JOB INFORMATION
POSITION TITLE:
COLLEGE/UNIVERSITY EDUCATION
DEGREE RECEIVED
DID YOU GRADUATE?
YES
NO
MAJOR
SEMESTER
QUARTER
# OF UNITS COMPLETED:
SCHOOL NAME
DATES ATTENDED
SCHOOL LOCATION (CITY/STATE)
TYPE
LICENSE NUMBER
TYPE
LICENSE NUMBER
DATES
From
To
ADDRESS
COMPANY WEBSITE
HOURS WORKED PER WEEK
DUTIES
DID YOU GRADUATE?
YES
NO
MAJOR
DEGREE RECEIVED
DATES ATTENDED
CERTIFICATES & LICENSES
DATE ISSUED (MONTH/YEAR)
ISSUING AGENCY
EXPIRATION DATE (MONTH/YEAR)
SPECIALIZATION
DATE ISSUED (MONTH/YEAR)
ISSUING AGENCY
WORK HISTORY
EMPLOYER
CITY
PHONE NUMBER
MONTHLY SALARY
EXPIRATION DATE (MONTH/YEAR)
SPECIALIZATION
POSITION TITLE
STATE
SUPERVISOR (NAME & TITLE)
MAY WE CONTACT THIS EMPLOYER?
YES
NO
5
Rev 3/2012
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