Official SealDepartment of Budget and Management

Supplemental Questionnaire

Last Name
First Name

Do you have a Qualified Elevator Inspector (QEI) certificate and/or are
you a licensed elevator mechanic?  If yes, please indicate certifcate or license.  If no, indicate N/A.


This position requires two years of experience in the construction, installation, repair, adjustment or inspection of elevators, escalators, moving walks, lifts, hoists or other related devices.  In the space below, please give a detailed description of your experience.  Please include dates worked, employer's name and address, and your job duties as they relate to this position.


Describe in detail any investigative and report writing experience you possess; provide two examples of your report writing ability/experience.


In the space below please list any relevant training to the job of Elevator Inspector including dates attended and certificates/diplomas received.


Do you possess a valid driver's license? Do you have reliable
transportation, available to you at all times?

Yes No

Please detail your level of computer/tablet experience

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