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#21-001756-0004
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

Are you a current permanent or contractual employee of the Maryland Department of the Environment?

Yes No
2

 Do you have working knowledge of Maryland Water Appropriation and Use Regulations ? If yes, please explain.  If no please enter N/A. 

3

 Do you have experience using the Water Supply Information and Permitting System (WSIPS)? If yes, please explain.  If no please enter N/A. 


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