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#22-005885-0006
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess current Trades and Industry Certification with MSDE that is directly related to the electrical trade?

Yes No
2.

Do you possess a bachelor’s or higher degree in a state-approved career and technology program from an Institution of Higher Education and have a minimum of two (2) years of satisfactory occupational. experience directly related to the electrical trade  (within ten (10) years and includes one (1) year full-time employment)?  If yes, list degree and describe experience.  Include employer, duties and dates of employment.  If no, indicate N/A.

3.

Do you possess an associate degree in the trade to be taught or a bachelor’s or higher degree from an Institution of Higher Education and have a minimum of three (3) years of satisfactory occupational experience directly related to the electrical trade (within ten (10) years and includes (1) year full time employment)?  If yes, list degree and describe experience.  Include employer, duties and dates of employment.  If no, indicate N/A.

4.

Do you possess a bachelor’s or higher degree in industrial arts/technology education, industrial technology, or in the trade to be taught from an Institution of Higher Education and have a minimum of two (2) years of satisfactory occupational experience directly related to Electrical (within ten (10) years and includes one (1) year full time employment)?  If yes, list degree and describe your experience.  Include employer, duties, dates of employment and hours worked per week.  If no experience, indicate N/A.

5.

Do you possess a secondary school diploma and a minimum of three (3) years of satisfactory occupational experience directly related to the electrical  trade within ten (10) years and including one (1) year full time employment?  If yes, list diploma and describe your experience.  Include employer, duties, dates of employment and number of hours worked per week.  If no, indicate N/A.


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