Official SealDepartment of Budget and Management


#19-005885-0002
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess a current Trade and Industry Certification with MSDE that is directly related to Plumbing?

Yes No
2.

Do you possess a bachelor’s or higher degree in a state-approved career and technology program from an Institution of Higher Education and have a minimum of two (2) years of satisfactory occupational experience directly related to Plumbing (within 10 years and includes one (1) year of full-time employment)?  If yes, list degree and describe experience.  If no experience, indicate N/A.

3.

Do you possess a bachelor’s or higher degree in industrial arts/technology education, industrial technology, or in the trade to be taught from an Institution of Higher Education and have a minimum of two (2) years of satisfactory occupational experience directly related to plumbing?  If yes, please list degree and describe this experience and reference specific positions from your application where this work was performed.  If no, please indicate NA.

4.

If you answered yes to the above question, do you have at least one (1) year of full-time employment? If yes, please describe this experience and reference specific positions from your application where this work was performed.  If no, please type NA

5.

Do you possess a secondary school diploma and a minimum of three (3) years of satisfactory occupational experience directly related to Plumbing within ten years and includes one year of full-time employment?  If yes, list education and desribe experience.  If no, indicate N/A.


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