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#21-004480-0001
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 a Bachelor's degree from an accredited college or university in Computer Information Technology, Management Information Systems, Computer Science or other information technology related field to include course work in database management systems?

Yes No
2.

In which field of study is your degree? If you do not have a degree, enter N/A.

4.

Describe your experience designing, developing, implementing, maintaining and controlling database management systems for computers.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

5.

Describe your experience with Health Level 7 (HL7).

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

6.

Please describe in detail your experience with Oracle databases.  (Please do not cut and paste from your resume.)  If you do not have this experience, please enter N/A.

7.

Describe your SQL experience.  Indicate employer, job title, duties and dates of employment.  If no experience, indicate N/A.


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