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#21-003121-0005
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.

Describe your experience dissecting, preserving, processing and analyzing fish or shellfish tissues samples. 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 answer N/A.

2.

Describe your experience with the detection of fish or shellfish pathogens. Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess this experience, please answer N/A.

3.

Describe your experience in histology, microscopy, cell culture, bacteriology, virology and/or polymerase chain reaction (PCR). Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess experience in any of these areas, please answer N/A.


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