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#19-002587-0050
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

Are you a State of Maryland licensed engineer or architect with the State of Maryland? If Yes, please list the type of licensure that you possess, and the date obtained. If you do not have this licensure, please enter N/A.

2

Have you received the Association of Energy Engineers (AEE) Certified Energy Manager (CEM) or Energy Manager in Training (EMIT) training certification? If Yes, please list the type of training certification you have received, and the date(s) you received the certification. If you have not received these training certifications, please enter N/A.

3

Describe your Agency Energy Planning experience. In your description, please include the name of employer, dates of employment, your job title, and relevant job duties. If you do not have this experience, please enter N/A.
 

4

Describe your Federal and/or State budget experience. In your description, please include the name of employer, dates of employment, your job title, and relevant job duties. If you do not have this experience, please enter N/A.

5

Describe your work experience administering procurement. In your description, please include the name of employer, dates of employment, your job title, and relevant job duties. If you do not have this experience, please enter N/A.


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