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#24-001405-0001
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 at least two (2) years’ experience in any combination of the maintenance trades, of which two (2) years are in the trade of electronics?

Yes No
1A

If you responded YES to the above question, please describe your experience in installation, maintenance and repair of electronic equipment.

This experience must also be included in 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.

2

Describe your maintenance experience working within a commercial setting.

 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 and skills performing maintenance/repairs on electronic equipment to include, but is not limited to, antenna systems, closed circuit television systems, control and indicating equipment, data systems, electronic office equipment, fire alarms, intercommunication units, intrusion and surveillance equipment, public address systems, radio equipment, security systems, and radiological monitoring equipment.

 This experience must also be included in 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.


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