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#0724-RB0830-T1
Supplemental Questionnaire

Last Name
First Name
1.

Education:

Check all that apply:

I possess a Bachelor's Degree from an accredited college or university with major course work in business administration, accounting, economics or closely related field which included at least 12 units in accounting.
I have completed at least 60 semester units from an accredited college or university which included at least 15 units in accounting.
I do not possess either of the education patterns noted.
1A.

Please list all college and/or university accounting courses and their respective units that you have successfully completed. If you do not possess any accounting units, please state "N/A".

2.

Experience:

This position requires applicants possess professional accounting experience. Check all that apply:

I possess at least five (5) years of professional accounting experience.
I possess at least three (3) years of professional accounting experience.
I possess less than three (3) years of professional accounting experience.
I possess at least one (1) year of investment accounting experience.
I do not possess any professional or investment accounting experience.
2A.

Please describe your professional accounting experience. Include your financial accountant role in the organization(s), scope and size of the organization(s) and if your role(s) included investment accounting experience.

3.

Please note any professional accountant associations and/or organizations you currently belong to: