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#22-008995-0001
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.***
1

Do you possess a Bachelor's degree from an accredited college or university in Media, Communications, Journalism, or related discipline?
Yes No
2

Describe your years of experience in the television industry.  Indicate how many years of experience you possess and provide duties performed.  This information must be reflected on the application for credit.  If you do not have this type of experience, indicate N/A.
3

Indicate which of the following you are applying for:
Production Specialist I (One (1) year of experience in the television industry or a degree in media, communications, journalism, or related field)
Production Specialist II (Three (3) years of experience in the television industry)
Production Specialist III (Five (5) years of experience in the television industry)
None of the above.

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