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#24-003784-0001
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. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval. ***
1.

Have you graduated from an accredited high school or possess a high school equivalency certificate?
Yes No
2.

Do you have one (1) year of experience in a 911 (police/emergency) services environment utilizing a CAD (computer aided dispatch) system?
Yes No
 

If yes is checked, please explain experience in detail (including employer and period of time frame):
3.

Do you have one (1) year of experience in a multi-faceted work environment using data entry keyboard functions and a multi-line telephone system?
Yes No
 

If yes is checked, please explain experience in detail (including employer and period of time frame):
4.

Do you have a combination of one (1) year of emergency dispatch training, education and/or experience?
Yes No
 

If yes is checked, please explain experience in detail (including employer and period of time frame):

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