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Supplemental Questionnaire

Last Name
First Name

Have you completed at least 60 semester (or 90 quarter) units at an accredited college with major course work in computer science, information systems, economics, engineering, architecture, environmental science, mathematics, business administration or a related field including at least 24 units in computer science?

Yes No

If you answered "Yes" above, please list the name of the college(s) you attended, the course titles and units received for courses related to the requirements listed above.  Make sure to also include the courses and units received that satisfy the required 24 units in computer science.


Do you possess at least one year of full-time work experience providing technical support in a geographical information systems environment?

Yes No

If you answered "Yes" above, please provide employer, dates of employment, number of hours worked per week, and your specific job duties performed related to geographical information systems technology support.


SUBSTITUTION PATTERN #1:  Do you possess an approved information systems technology certificate, or have you completed an approved information systems training course which may be substituted for all or part of the above-required education?

Yes No

If you answered "Yes" above, please indicate the approved information systems technology training courses you completed or certificate(s) you possess. Include the name of the certificate/courses and dates of completion.


SUBSTITUTION PATTERN #2:  Do you possess any additional qualifying experience which may substitute for the above required education on a year-for-year basis?

Yes No

If you answered "Yes" above, please list the additional experience that may be substituted.  Indicate the employer(s), dates of employment, number of hours worked per week, and your specific job duties.