Survey

Performance Verification: Inspection and Testing of Fire Alarm Systems

NICET ENGINEERING TECHNICIAN CERTIFICATION

Experience Application: Verifier Data

Name:

Michael Kleschitsky

Title:

Current Employer:

Daytime Phone:

Email:

Professional licenses/certifications

My observations of the candidate occurred during my employment at:

Select One:

Previous Employer:

My observation of the candidate occurred as a part of my role as:

Select One:

Government Agency:

Please provide details of role:

I have (Check all that apply):

During what time period were you in the above-indicated relationship with the candidate?

From:

To:

Level 1 Performance Measures

The candidate has repeatedly demonstrated an ability to:

Statements of Verification

I verify that I have a detailed personal knowledge of the candidate’s performance related to each of the performance measures that I have initialed above and that, in my best professional judgment and according to government and industry standards and best practices, each initialed statement is true and has been repeatedly and consistently demonstrated.

I certify that I understand and have carefully considered each performance measure that I have verified or will verify.

I certify that I have not verified, and will not verify, any performance measure that I have not either personally observed or received reliable and specific reports from one who has personally observed the performance.

NICET ENGINEERING TECHNICIAN CERTIFICATION

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