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#17-000606-0007
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.***


1

Do you have four years experience in any combination of the maintenance trades of which three years shall have been in the trades of electricity, plumbing, steam fitting, refrigeration or air conditioning?

Yes No
2

If you answered Yes to question #1, please describe in the box below your professional expererience in the maintenance trades.  Employer information for this experience must be listed on your application.

3

Do you have a high school diploma or high school equivalency certificate/GED (this information must be reflected in the education section of the application)?

Yes No
4

Do you have a current Trade License and/or Trade Certification?

Yes No
5

If you responded yes to question #4 then list the trade in which you are certified below.


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