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#17-004530-0002
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

Describe your level of experience involving duties examining, analyzing
and interpreting accounting systems, records and reports by applying
generally accepted accounting principles. Please include name of employer,
job title, dates of employment and hours worked per week. If you do not
possess experience in this area, put N/A in the box below.

2

Describe your level of experience using the Relational Standard
Accounting & Reporting System (R*STARS). Please include name of employer,
job title, dates of employment and hours worked per week. If you do not
possess experience in this area, put N/A in the box below.

3

Are you a licensed Certified Public Accountant (CPA)?

Yes No

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