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#21-000697-0001
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

Explain in detail all of your employment experience as a Journeyman plumber, please include employer name, dates of employment and duties. Type N/A if you do not have this experience.

2

Describe in detail your experience installing and repairing sanitary plumbing appliances. Please include employer(s) name, dates of employment, hours worked. Indicate N/A if you do not have this experience.

3

Do you possess a Maryland Journeyman/Gas Fitter License?

Yes No
4

If you answered yes, please attach a copy of your license to your application.  Also, provide the license number and expiration date below.

5

Describe your experience with the use of general plumbing tools and equipment.

This experience must also be included on your application. Please be sure to include name of employer, job title, dates of employment and hours worked per week. If you do not possess experience in this area, indicate N/A.

6

Describe your basic computer skills utilizing MS Word and Excel. Also describe your computer skills to access an electronic work order system and emails.

This experience must also be included on your application. Please be sure to include name of employer, job title, dates of employment and hours worked per week. If you do not possess experience in this area, indicate N/A.


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