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#21-002586-0048
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 possess current certification as a Hunter Safety Instructor?

Yes No
2.

Please describe your experience as a Certified Hunter Safety Instructor. Include employer name(s) and dates of employment. This information must also be reflected in your application. If you do not possess this experience, enter N/A.


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