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#TEX-9976-091102
Supplemental Questionnaire

Last Name
First Name
1

Please select the answer below that best matches your highest educational attainment. 

Attended some college and completed 0-9 semester or 0-14 quarter credits/units of coursework in Computer Science or a closely related field.
Attended some college and completed 10-19 semester or 15-29 quarter credits/units of coursework in Computer Science or a closely related field.
Attended some college and completed 20+ semester or 30+ quarter credits/units of coursework in Computer Science or a closely related field.
Completion of an associates degree in Computer Science or a closely related field from an accredited college or university OR its equivalent in terms of total course credits/units [i.e. 60+ semester or 90+ quarter credits/units with 20+ semester or 30+ quarter credits/units in computer science or a closely-related field.
Completion of a Baccalaureate Degree in Computer Science or a closely related field.
None of these.
2

How many years of experience do you have working in the information systems/technology field, which includes system analysis, business process design, development or implementation of business application solutions or IT project management?

I have less than 5 years of this experience.
I have between 5 years (minimum) and 5 years 11 months (maximum) of this experience.
I have between 6 years (minimum) and 6 years 11 months (maximum) of this experience.
I have more than 7 years of this experience.
3

How many years of the experience indicated include Epic Willow experience?

I have between 1 year (minimum) and 1 year 11 months (maximum) of this experience.
I have between 2 years (minimum) and 2 years 11 months (maximum) of this experience.
I have more than 3 years of this experience.
I do not have this experience.
 

Do you possess a current Epic Willow certification?

Yes No