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#19-001328-0006
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 have at least six months of experience working in a diagnostic 

laboratory, veterinary clinic or with farm animals? If YES, please describe 

this experience and include job title, dates of employment and hours worked 

per week. If you do not have this experience, please indicate N/A in the 

box below

2

Do you have one year of experience using Microsoft Office Suite,

Microsoft Word, Excel, Access or Outlook? If YES, please describe this 

experience and include job title, dates of employment and hours worked per 

week. If you do not have this experience, please indicate N/A in the box 

below.


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