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#21-001382-0001
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 have experience working with Integrated Pest Management (IPM) programs?  If yes, please describe this experience in the box below. If no, write N/A.

2.

Do you have experience developing pesticide safety or similar training programs?  If yes, please describe this experience in the box below. If no, write N/A.

3.

Do you have experience working with federal grants or budgets?  If yes, please describe this experience in the box below. If no, write N/A.


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