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#CCT-5215-904453
Supplemental Questionnaire

Last Name
First Name
1

Do you have a baccalaureate degree in fire protection, mechanical, electrical, chemical, or civil engineering, or a related engineering field, from an accredited college or university?

Yes No
2

Do you have a degree in fire protection engineering from an accredited college or university? 

Yes No
3

How many years of professional experience in fire protection analysis including building design, specification writing, construction inspection, and plan review (including reading and interpreting architectural plans, computer fire modeling, and review of fire protection and life safety systems such as sprinkler and fire pump systems, smoke removal systems, fire-resistive construction, means of egress, etc.)?

6 years or more
5 years but less than 6
less than 5 years
no experience
4

Do you have a valid Fire Protection Engineer license issued by the California Board of Registration for Professional Engineers? 

Yes No
5

Do you have a valid registration as a Fire Protection Engineer from another state (which is transferable to the State of California)? 

Yes No
6

Do you have a valid Driver's License? 

Yes No