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#18-000796-0001
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.

Describe your experience involving the analysis of fire safety using NFPA 101 Safety Code requirements to determine compliance.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.

2.

Describe your training in and/or experience conducting life safety code surveys.  This experience must also be included on your application.  If you do not possess this type of experience, please indicate N/A in the text box.

3.

Describe your experience in safety inspection, safety investigation, and fire prevention.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.


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