Official SealDepartment of Budget and Management

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.**



Do you have four years experience in any combination of the maintenance trades of which three years shall have been in the trades of electricity, plumbing, steam fitting, refrigeration or air conditioning?

Yes No

If you answered Yes to question #1, please describe in the box below your professional experience in the maintenance trades.  Employer information for this experience must be listed on your application.

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