Official SealDepartment of Budget and Management

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.***


Do you have at least 3 years of successful, progressively responsible experience in a  practical beekeeping program or in beekeeping inspection?

Yes No

If you answered "Yes", please describe your experience in a beekeeping program working with honey bees including experience with diseases and pests.  Include dates in the box below.  Enter N/A if you do not have this experience.

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