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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 possess a Bachelor's degree from a accredited college or university in Computer Information Technology, Management Information Systems or other information technology related field, to include coursework in local or wide area computer networks?

Yes No

List coursework completed in local or wide area computer networks (LAN/WAN).  Please include the college/university where the course was completed, course title, date taken (i.e., Spring 2014, Summer 1995, Fall 2001) and the grade received for each course.  (If not applicable, put N/A in the box below.)


Do you possess at least 15 credit hours from an accredited college or university in systems analysis and applications programming using generally accepted computer programming languages or other developmental tools?  If yes, please list the related course work.  (Upload or attach an unofficial copy of your transcript(s) to your application for verification purposes.)


Describe your knowledge of and/or experience with software packages, databases and networking.

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.

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