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#20-000081-0001
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. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


1.

Do you possess experience testing for animal diseases, using real time PCR, viral gene sequencing and genotyping? If yes, please list the name of your employer, job duties, dates of employment and hours worked per week. This information must be reflected in your application. If you do not have this type of experience, please write N/A.

 

2.

Do you possess experience performing laboratory diagnostic and analysis work by conducting tests in multiple assigned areas, such as molecular biology, virology, bacteriology, mycology, parasitology, hematology and serology? If yes, please list the name of your employer, job duties, dates of employment and hours worked per week. This information must be reflected in your application. If you do not have this type of experience, please write N/A.

 

3.

Do you possess familiarity with federal regulatory tests and forms (e.g., avian influenza, Equine Infectious Anemia, Brucellosis)? If yes, please describe the extent of your experience and knowledge in this area. If you do not have this preferred qualification, please write N/A.

 

4.

Do you possess experience working in an ISO (International Standard Organization) accredited veterinary diagnostic laboratory? If yes, please list the name of your employer, job duties, dates of employment and hours worked per week. If you do not have this type of experience, please write N/A.

 


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