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#19-000388-0002
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 possess one year experience with web design using HTML code?

Yes No
 

If yes, please include name of employer, job title, dates of employment, hours worked per week and specific job duties relating to the experience mentioned above. (This employment should also be reflected on your application.)

If you do not possess experience in this area, put N/A in the box below.

2.

Do you possess one year of experience with HTML and JavaScript programming?

Yes No
 

If yes, please include name of employer, job title, dates of employment, hours worked per week and specific job duties relating to the experience mentioned above. (This information should also be reflected on your application.)

If you do not possess experience in this area, put N/A in the box below.

3.

Do you possess one year of experience with the management of a Learning Management System (LMS) such as, for example, Cornerstone?

Yes No
 

If yes, please include name of employer, job title, dates of employment, hours worked per week and specific job duties relating to the experience mentioned above. (This employment should also be reflected on your application.)

If you do not possess experience in this area, put N/A in the box below.

4.

Do you possess one year of employment experience in instructional design and with instructional technology?

Yes No
 

If yes, please include name of employer, job title, dates of employment, hours worked per week and specific job duties relating to the experience mentioned above. (This employment should also be reflected on your application.)

If you do not possess experience in this area, put N/A in the box below.


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