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#240423-332300-001
Supplemental Questionnaire

Last Name
First Name

 

Please answer the following questions. Make sure that the information mentioned in the questions below, properly reflects on the work experience provided on the application. Failure to do so may eliminate your application from consideration.


1.

Do you possess a valid Driver's License?

Yes
No
2.

Do you possess a Level I and Level II Electrical Skills and Level I Instrumentation and Control skills certification?

Yes, I possess all three (3) skills certifications required, and have provided proof as well
No, I do not have the certifications required, but I am willing and able to obtain it within 18 months of employment.
No, I do not possess nor have the ability to obtain a Level I Instrumentation and Control skills certification required.
3.

Do you have a minimum of three (3) years of working experience in industrial electrical troubleshooting, maintenance and repair?

Yes
No
4.

If you answer "YES" to the previous question, tell us:

  • the total number of years,
  • position title and
  • brief description of the duties you were responsible at that position that is relevant to this position.

If you selected "NO", please write “N/A.”

5.

Please provide what voltage levels you are accustomed to working with.

6.

Do you have experience working in the industrial electrical field?  

Yes
No
7.

If you answered “YES” to the previous question, please tell us:

  • The experience you have in that field and
  • how long.

If you selected “NO,” please write “N/A.”