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#24-006071-0011
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 an Emergency Vehicle Operations Instructor Certification from MPCTC or are you able to achieve such a certification within six months of beginning employment?
Yes No
2

Do you possess an Academic Instructor’s Certification from MPCTC or are you able to achieve such a certification within six months of beginning employment?
Yes No

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