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#20-000606-0001
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 have four years experience in any combination of the maintenance trades of which three years were in the trades of electricity, plumbing, steam fitting, refrigeration or air conditioning?
If you answered Yes please describe in the box below your professional experience in the maintenance trades. Employer information and hours worked per week must be listed on your application. If no write N/A in the box

2.

Do you have a high school diploma or high school equivalency certificate/GED (this information must be reflected in the education section of the application)?

Yes No
3.

Do you have a current Trade License and/or Trade Certification? If your answer is Yes then list the trade in which you are certified below. If no write N/A in the box.


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