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#18-003122-0003
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

Do you possess a valid US Coast Guard 100 ton Near Coastal License with a Towing Endorsement?
Yes No
2

Do you possess a valid Maryland Commercial Driver's License (CDL)?

 
Yes No
3

Do you possess current certification in First Aid and CPR?

Yes No
4

Please describe your knowledge of all navigable waters of the Chesapeake Bay and its tributaries. In your response, please describe how you acquired this knowledge. If you do not possess this type of knowledge, indicate N/A in the box below.


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