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#24-003235-0017
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

In the space below, please describe your experience as a writer of educational and/or technical documents (e.g., manuals, user guides, tutorials, etc.), making sure to include the employer(s) where it was gained, the number of years of experience, and the duties performed. Enter N/A if you do not possess this experience.

2

 In the space below, please describe your experience as an educator and/or trainer, making sure to include the employer(s) where it was gained, the number of years of experience, and the duties performed. Enter N/A if you do not possess this experience.

3

In the space below, please describe your experience developing pre-recorded “asynchronous” training modules using a Learning Management system (LMS), making sure to include the employer(s) where it was gained, the number of years of experience, and the duties performed. Enter N/A if you do not possess this experience.

4

In the space below, please describe your experience with distance/virtual training, making sure to include the employer(s) where it was gained, the number of years of experience, and the duties performed. Enter N/A if you do not possess this experience.

5

In the space below, please describe your experience operating and/or teaching computer software systems, making sure to include the employer(s) where it was gained, the number of years of experience, and the duties performed. Enter N/A if you do not possess this experience.


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