**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.
Do you possess a Bachelor's Degree in Biochemistry, Biology, Biotechnology, Chemistry, Genetics, Immunology, Microbiology, Molecular Biology, Medical Technology, Pharmacy or Zoology from an accredited college or university?
Yes
No
2.
Describe your experience working in a chemistry laboratory performing analytical tests on environmental, biological or multi-matrix samples.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
3.
Describe your experience working in a medical or public health laboratory performing diagnostic or public health testing on human specimens.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
4.
Do you possess at least one course in Molecular Biology and one course in Biochemistry? Please be sure to submit a copy of your transcripts with your completed application.
Yes
No
5.
Describe your experience performing molecular biology based testing in a Biosafety Level 2 (BSL-2) and/or Biosafety Level 3 (BSL-3) laboratory.
With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position. This experience must also be reflected in the "Work Experience" section of your application. If you do not have this experience, put N/A in the box below.
6.
Describe your knowledge and/or experience with principles of molecular biology based assays (i.e., PCR).
7.
Describe your experience handling potentially infectious pathogens.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
8.
Describe your familiarity with biosafety risk assessment.
Candidates must be able to obtain medical clearance to wear N95 and/or PAPR respiratory devices as required to perform testing in the Biosafety Level 3 laboratory. Candidates must be able to receive any vaccinations required to perform BT assays (i.e., smallpox); and, must be able to obtain federal clearance as part of the Tier 1 Biological Select Agent and Toxin (BSAT) Program.
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