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2. SUPPLEMENTAL QUESTIONNAIRE
4. First Name
5. Last Name
7. Date
   Date
9. Do you currently possess a CDL?

   1. Yes
   2. No
10. If yes, what type of CDL do you have?
12. Have you ever worked on diesel engines?

    1. Yes
    2. No
13. If yes, what type of diesel engines have you worked on? Please explain in detail the extent of the work performed.
15. Do you have any knowledge on vehicle electronic/electrical systems?

    1. Yes
    2. No
16. If yes, what type of vehicles have you performed electronic/electrical work?
18. Do you have any experience troubleshooting and repairing mechanical equipment?

    1. Yes
    2. No
19. If yes, please explain in detail the type of mechanical equipment you have worked on?
21. Do you have any experience with welding and fabrication?

    1. Yes
    2. No
22. If yes, please give examples of what types of fabrications you have done?
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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