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#22-002587-0059
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

Please explain your experience within the gaming industry associated with skilled based amusement devices including employer name, dates of employment, and job duties.  If you do not have this experience please enter N/A.  

2

Please explain your experience with Microsoft office programs word, excel, powerpoint.  In your response please include employer name, dates of employment, and job duties.  If you do not have this experience please enter N/A.  


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