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#24-000606-0006
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. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

 


1

Do you possess four (4) years experience in any combination of the maintenance trades, of which three (3) years are in the trades of electricity, plumbing, steam fitting, refrigeration or air conditioning?

Yes No
2

If you responded YES to the above question, please describe your experience in any combination of the maintenance trades, including the maintenance trades of electricity, plumbing, steam fitting, refrigeration or air conditioning.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

3

Describe your experience changing HVAC filters and checking boiler temperatures.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

4

Describe your experience performing minor furniture repair and assembly.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

5

Describe your experience using a computer at the basic to intermediate level.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.


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