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#18-004413-0019
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.

Please describe in the box below your professional experience planning, integrating and maintaining software and hardware for local or wide area computer networks. Please include the job duties performed, name(s) of employer(s), job title, dates of employment, and hours worked per week. This information must also be reflected in your work experience section of your application.  If you do not possess experience in this area, put N/A in the box below. 

2.

Do you possess a Bachelor's degree in computer information technology, management information systems, or other information technology related field, to include course work in local or wide area computer networks, from an accredited college or university?

Yes No
3.

List coursework completed in local or wide area computer networks (LAN/WAN).  Please include the college/university where the course was completed, course title, date taken (i.e., Spring 2014, Summer 1995, Fall 2001) and the grade received for each course.  (If not applicable, put N/A in the box below.)


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