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#17-004590-0009
Supplemental Questionnaire

Last Name
First Name
1

Do you have a bachelor's degree in Civil, Chemical or Environmental
Engineering? If yes, list degree below.

Yes No
2

Do you have a master's degree in Civil, Chemical or Environmental
Engineering? If yes, list degree below.

Yes No
3

Have you successfully completed coursework in one of the following: Fluid
Mechanics, Wastewater Engineering, Drinking Water Engineering, Hydrology,
Hydraulic Engineering, or Water Resource Engineering?

Yes No
 

If so, please provide the name of the course(s).

4

Please explain your experience using Microsoft Office Suite (i.e., Word,
Access, Excel, PowerPoint). If you do not possess this experience, please
indicate N/A.

5

Please explain your experience or knowledge in Civil, Chemical or
Environmental Engineering. If you do not possess this experience, please
indicate N/A.

6

Do you have an Engineering in Training (EIT) Certification?

Yes No

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