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#19-004600-0001
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.***


1.

Are you a licensed Professional Engineer or Architect in the State of Maryland or another State with the ability to receive reciprocity in Maryland?

Yes No
2.

If YES, please provide the details of your license and expiration date. If you are not currently licensed, type N/A in the box below.

3.

Please describe your previous experience managing government and/or private sector design and construction projects. Make sure to also list the employer(s) where this experience was gained. If you do not possess this experience, write N/A.

 

4.

Please describe your previous experience with development and evaluation of master plans for medium to large-scale organizations. Make sure to also list the employer(s) where this experience was gained. If you do not possess this experience, write N/A.

 

5.

Please describe your previous experience with renovation, restoration and rehabilitation of historic structures. Make sure to also list the employer(s) where this experience was gained. If you do not possess this experience, write N/A.


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