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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.***


Do you possess a bachelor's degree from an accredited college or university in computer science, computer information technology, information security, electrical systems, cybersecurity, or related field?

Yes No

Do you possess a graduate level degree in computer science, electrical systems, cybersecurity or related field from an accredited college or university?

Yes No

Describe your five (5) years of experience working in an information technology environment (IT) to include direct involvement in the management of IT technical staff and IT projects. Include name of employer, job title, dates of employment, and hours worked per week for each relevant position. This information must correspond with the details listed on the application for credit. If you do not have this experience, indicate N/A in the box below.

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