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#19-002588-0041
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.

Describe your experience handling Federal regulatory tests and forms (e.g., Equine Infection Anemia, Tuberculosis, Brucellosis). In your description, please include the name of employer, dates of employment, your job title, and your relevant job duties. If you no not have this experience, enter N/A.

2.

Describe your supervisory experience in a veterinary diagnostic or research laboratory. In your description, please include the name of employer, dates of employment, your job title, and your relevant job duties. If you no not have this experience, enter N/A.

3.

Describe your experience using Microsoft Office Suite (Word, Excel). In your description, please include the name of employer, dates of employment, your job title, and your relevant job duties. If you no not have this experience, enter N/A.


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