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#20-005297-0006
Supplemental Questionnaire

Last Name
First Name
 

Please describe your experience with assistive technology particularly with individuals with low vision.  Include employer, duties and dates of employment.  If no experience, indicate N/A.

 

Describe your experience with Commercial Technologies, software, and their accessibility settings, including but not limited to MAC OS, Apple iOS, Android, Windows OS, Microsoft Office and internet browsers.  Include employer, duties and dates of employment.  If no experience, indicate N/A.

                                             

 

Describe your experience with installing, configuring, troubleshooting, and training on assistive technology.  Include employer, duties and dates of emploment.  If no experience, indicate N/A.

 

List any certifications such as RESNA’s Assistive Technology Professional (ATP), ACVREP’s Certified Assistive Technology Instructional Specialist for People with Visual Impairments (CATIS), or certificate/degree’s in AT or Special Education such as CSUN’s Assistive Technology Applications Certificate Program (ATACP). If none, indicate N/A.


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