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#22-005483-0021
Supplemental Questionnaire

Last Name
First Name
1.

Are you a Certified Information Systems Auditor (CISA)?  If yes, please upload a copy of your certification.

Yes No
2.

Please describe your experience performing audits in accordance with Generally Accepted Government Auditing Standards, the Institute of Internal Auditors' International Standards for the Professional Practice of Internal Auditing, or other formal auditing standards.  If you do not possess this experience, indicate N/A.

3.

Do you have any of the following Certifications?  If so, indicate which one(s).

Certified Public Accountant (CPA)
Certified Internal Auditor (CIA)
Certified Information Security Manager (CISM)
Certified in the Governance of Enterprise IT (CGEIT)
Certified in Risk and Information Systems Control (CRISC)
Anysimilar designations
None of the above

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