<p>[vc_row css_animation="" row_type="row" use_row_as_full_screen_section="no" type="full_width" angled_section="no" text_align="left" background_image_as_pattern="without_pattern"][vc_column][vc_cf7_elements][text text-263][/vc_cf7_elements][vc_column_text]</p>
<div class="form-heading-block">
<div class="left-col">
<h3>Job Interest Questionnaire</h3>
</div>
<div class="right-col"><input type="date" name="date" placeholder="date"></div>
<div class="clear"></div>
</div>
<p><!--end--><br />
<!--Personal detail block--></p>
<div class="personal-detail-fields-wrapper form-fields-wrapper">
<div class="table-block">
<table class="form-table form-table-1" width="100%" cellpadding="0" cellspacing="0" border="0">
<tbody>
<tr class="form-row">
<td class="row-col-1"><input type="text" placeholder="Last Name" name="Last Name"></td>
<td class="row-col-2"><input type="text" placeholder="First Name" name="First Name"></td>
<td class="row-col-3"><input type="text" placeholder="Initial" name="Initial"></td>
</tr>
</tbody>
</table>
</div>
<div class="table-block">
<table class="form-table form-table-2" width="100%" cellpadding="0" cellspacing="0" border="0">
<tbody>
<tr class="form-row">
<td class="row-col-1"><input type="number" name="contact number" placeholder="Contact Number(s)"></td>
<td class="row-col-2"><input type="number" name="best time to call" placeholder="Best Time To call:"></td>
<td class="row-col-3">
								<select><option>AM</option><option>PM</option></select></td>
</tr>
</tbody>
</table>
</div>
<div class="table-block">
<table class="form-table form-table-2" width="100%" cellpadding="0" cellspacing="0" border="0">
<tbody>
<tr class="form-row">
<td class="row-col-1"><input type="text" name="email" placeholder="Email"></td>
</tr>
</tbody>
</table>
</div>
</div>
<p><!--end--><br />
<!--signature block--></p>
<div class="signature-fields-wrapper form-fields-wrapper">
<div class="row-1">I confirm that I carefully read and understand all of the information below, and have responded honestly and accurately.</div>
<div class="table-block">
<table class="form-table form-table-1">
<tbody>
<tr class="form-row">
<td class="form-col-1"><input type="text" name="Signature" placeholder="Signature"></td>
<td class="form-col-2"><input type="date" name="date" placeholder="Date"></td>
</tr>
</tbody>
</table>
</div>
</div>
<p><!--end--><br />
<!--start form-top-a--></p>
<div class="form-top-a-fields-wrapper form-fields-wrapper">
<div class="table-block">
<table class="form-table form-table-1">
<tbody>
<tr class="form-row">
<td class="form-col-1">Indicate the job you are interested in:</td>
<td class="form-col-2">
								<label><input type="checkbox"> Electrical/Conduit</label><br />
<label><input type="checkbox"> Circuit Breaker</label><br />
<label><input type="checkbox"> Maintenance</label><br />
<label><input type="checkbox"> Assembly</label><br />
<label><input type="checkbox"> Warehouse</label><br />
<label><input type="checkbox"> Paint</label><br />
<label><input type="checkbox"> Field Service</label><br />
<label><input type="checkbox"> Sheet Metal</label><br />
<label><input type="checkbox"> Shipping</label><br />
<label><input type="checkbox"> Welding</label><br />
<label><input type="checkbox"> Other:</label></td>
</tr>
</tbody>
</table>
</div>
<div class="table-block">
<table class="form-table form-table-2">
<tbody>
<tr class="form-row">
<td class="form-col-1">Do you know anyone who works/worked here? <label><input type="checkbox"> Yes</label> <label><input type="checkbox"> No</label></td>
<td class="form-col-2">If yes, identify who and your relationship.</td>
</tr>
<tr class="form-row">
<td class="form-col-1">Have you ever been employed with Fibrebond/ISCO before? <label><input type="checkbox"> Yes</label> <label><input type="checkbox"> No</label> If yes, when?</td>
<td class="form-col-2">Reason for leaving?</td>
</tr>
</tbody>
</table>
</div>
</div>
<p><!--end--><br />
<!--form-top-b-wrapper--></p>
<div class="form-top-b-fields-wrapper form-fields-wrapper">
<div class="table-block">
<table class="form-table form-table-1">
<thead>
<tr class="form-row">
<th class="form-col-1">Part 1: Carefully read and check the appropriate box</th>
<th class="form-col-2">YES</th>
<th class="form-col-3">NO</th>
</tr>
</thead>
<tbody>
<tr>
<td class="form-col-1">A. Are you eligible to work in the United States? [Proof of eligibility is required prior to employment]</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">B. Are you at least 18 years of age?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">C. Do you have a high school diploma or equivalent (GED)?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">D. Are you willing and agree to participate in the unpaid assessment as part of the selection process?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">E. Are you willing and agree to work in a drug-free and tobacco-free [smoke and smokeless] environment—except in designated areas?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">F. Are you willing to agree to have background and reference checks conducted as required for securing this position?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">G. Are you able and willing to climb stairs or ladders repeatedly during a shift?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">H. Are you able and willing to perform repetitive and physically demanding tasks for extended periods (lifting 50 pounds routinely, Sit for more than two hours; and stand, climb, kneel, twist, and stoop) throughout the shift while maintaining a steady, high energy pace?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">I. Are you able and willing to wear required Personal Protective Equipment, which may include and are not limited to: hard hat, safety glasses, goggles, ear protection, and protective footwear to include steel-toed boots, gloves and other protective clothing as required for specific jobs?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">J. Perform repetitive and physically demanding tasks for extended periods (lifting 50 pounds routinely, walking, climbing, pushing, twisting, and stooping) throughout the shift while maintaining a steady, high energy pace.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">K. Are you able and willing to work in a position that requires standing up to 10 hours during a shift and walking distances that may exceed a mile?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">L. Are you able to hear and distinguish alarms?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">M. Are you able to hear and follow verbal work instructions [in English]?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr>
<td class="form-col-1">N. Are you able to read and follow information written in English [e.g. Standard Operating Procedures, technical manuals, operator handbooks, company policies, training materials from third-parties, etc.]?</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
</tbody>
</table>
</div>
</div>
<p><!--end--><br />
<!--form-top-c-wrapper--></p>
<div class="form-top-c-fields-wrapper form-fields-wrapper">
<div class="table-block">
<table class="form-table form-table-1">
<thead>
<tr>
<th colspan="2">Part 2: Education ,Formal Training, and Work Experience</th>
</tr>
</thead>
<tbody>
<tr class="form-row">
<td class="form-col-1">Check box of highest level of education you have completed. <lable><input type="checkbox"> Vocational</lable> <lable><input type="checkbox"> Technical College</lable> <lable><input type="checkbox"> GED</lable> <lable><input type="checkbox"> High School Diploma</lable> <lable><input type="checkbox"> College/University</lable> Identify degree and field of study:</td>
<td class="form-col-2">Did you graduate? <label><input type="checkbox"> No</label> <label><input type="checkbox"> Yes</label> <label><input type="checkbox"> Certificate</label> <label><input type="checkbox"> 2-Year Degree</label> <label><input type="checkbox"> 4-Year Degree</label> <label><input type="checkbox"> Advanced Degree</label></td>
</tr>
</tbody>
</table>
</div>
</div>
<p><!----><br />
<!--form-top-d-wrapper--></p>
<div class="form-top-d-fields-wrapper form-fields-wrapper">
<div class="table-block">
<table class="form-table form-table-1">
<thead>
<tr class="form-row">
<th class="form-col-1">Part 3: The following actions are requirements associated with job performance. Check the appropriate box confirming YES you are willing and able, or NO you are not willing or able to perform each action listed.</th>
<th class="form-col-2">YES</th>
<th class="form-col-3">NO</th>
</tr>
</thead>
<tbody>
<tr class="form-row">
<td class="form-col-1">1. Adapt to effectively meet demanding production, repair and/or maintenance schedules.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">2. Collect, organize and summarize information; check, compare, and copy numbers, etc.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">3. Comply with all governmental mandated rules and regulations (for example, OSHA).</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">4. Comply with all plant rules and all company HR policies and practices.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">5. Comply with and support a harassment free work environment.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">6. Conduct housekeeping to maintain cleanliness of the overall plant, as well as work area.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">7. Frequently use problem-solving techniques on the job.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">8. Learn new skills and knowledge on-the-job, as required, including cross-training on multiple equipment, processes and departments.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">9. Listen to and follow information written in English (such as standard operating procedures, technical manuals, operator handbook, company polices, etc.).</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">10. Maintain strict adherence to safety rules and regulations and quality standards.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">11. Meet demanding production schedules.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">12. Perform basic industrial math to add, subtract, multiply, or divide.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">13. Work with others to support a team environment.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">14. Read and follow information written in English (such as standard operating procedures, technical manuals, operator handbook, company polices, etc.).</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">15. Safely work with powered and non-powered tools and equipment.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">16. Sign a non-disclosure and confidentiality agreement about the company, its products, processes, its customers and clients and work performed.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">17. Train others on the job.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">18. Use basic arithmetic to add, subtract, multiply, or divide.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">19. Use various measuring/measurement instruments (such as tape measure).</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">20. Work 8- to 12-hour shifts, which may include weekends, nights, as well as on holidays as required.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">21. Work in an atmosphere where safety and quality are the most important part of the job.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">22. Work in an environment where attendance and reporting to work on time are a requirement of employment.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">23. Work in an environment where paying attention to the smallest details of a task are important.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">24. Work in an environment where priorities frequently change.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">25. Work productively with individuals of a diverse background and culture to support a high performance team environment.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">26. Work with limited supervision.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
<tr class="form-row">
<td class="form-col-1">27. Perform other duties and tasks as assigned to the position.</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
</tr>
</tbody>
</table>
</div>
</div>
<p><!--end--><br />
<!--form-top-e-wrapper--></p>
<div class="form-top-e-fields-wrapper form-fields-wrapper">
<div class="table-block">
<table class="form-table form-table-1">
<thead>
<tr>
<th class="form-row">Part 4: Background and Work Experience</th>
</tr>
</thead>
<tbody>
<tr class="form-row">
<td colspan="2"><strong>In advance of contacting your previous employers regarding your job performance and attendance:</strong></td>
</tr>
<tr class="form-row">
<td>1) How many days of scheduled work did you miss during the last 6 months of employment? <label><input type="checkbox"> 0</label> <label><input type="checkbox"> 1</label> <label><input type="checkbox"> 2-3</label> <label><input type="checkbox"> 4</label> <label><input type="checkbox"> 5+</label></td>
</tr>
<tr class="form-row">
<td>2) How many days were you late to work during the last 6 months of employment? <label><input type="checkbox"> 0</label> <label><input type="checkbox"> 1</label> <label><input type="checkbox"> 2-3</label> <label><input type="checkbox"> 4</label> <label><input type="checkbox"> 5+</label></td>
</tr>
<tr class="form-row">
<td>3) Have you ever been terminated or asked to resign from any job? <label><input type="checkbox"> NO</label> <label><input type="checkbox"> YES</label> <label>If YES, how many times?</label> <label><input type="text"></label></td>
</tr>
<tr class="form-row">
<td>4) How will your past employers describe your punctuality and attendance record? <label><input type="checkbox"> Poor</label> <label><input type="checkbox"> Acceptable</label> <label><input type="checkbox"> Perfect</label></td>
</tr>
<tr class="form-row">
<td>5) How many “warnings” did you receive during the last 6 months of employment? <label><input type="checkbox"> 0</label> <label><input type="checkbox"> 1</label> <label><input type="checkbox"> 2-3</label> <label><input type="checkbox"> 4</label> <label><input type="checkbox"> 5+</label></td>
</tr>
<tr class="form-row">
<td>6) How many on-the-job safety violations have you had in the last 2 years you worked? <label><input type="checkbox"> None</label> <label><input type="checkbox"> 1</label> <label><input type="checkbox"> 2</label> <label><input type="checkbox"> 3 or more</label></td>
</tr>
<tr>
<td>7) Please explain any warning or violations for questions 1-6 above:</td>
</tr>
</tbody>
</table>
</div>
</div>
<p><!--end--><br />
<!--form-top-f-wrapper--></p>
<div class="form-top-f-fields-wrapper form-fields-wrapper">
<div class="table-block">
<table class="form-table form-table-1">
<tr>
<td><input type="text" placeholder="Your Name" name="your name"></td>
</tr>
</table>
</div>
</div>
<p><!--end--><br />
<!--form-top-g-wrapper--></p>
<div class="form-top-5-fields-wrapper form-fields-wrapper">
<div class="table-block">
<table class="form-table form-table-1">
<tbody>
<tr class="form-row">
<td class="form-col-1"><input type="text" placeholder="Most Recent/Current Employer:" name="Most Recent/Current Employer:"></td>
<td class="form-col-2"><input type="text" placeholder="Last Position Held:" name="Last Position Held:"></td>
<td class="form-col-3"><input type="text" placeholder="Reason for Leaving" name="Reason for Leaving"></td>
</tr>
<tr class="form-row">
<td class="form-col-1"><input type="text" placeholder="Location:" name="Location:"></td>
<td class="form-col-2"><input type="text" placeholder="Employment Dates:" name="Employment Dates:"></td>
<td class="form-col-3"><input type="text" placeholder="Supervisor Name:" name="Supervisor Name:"></td>
</tr>
<tr class="form-row">
<td class="form-col-1"><input type="text" placeholder="Second Most Recent Employer:" name="Second Most Recent Employer:"></td>
<td class="form-col-2"><input type="text" placeholder="Last Position Held:" name="Last Position Held:"></td>
<td class="form-col-3"><input type="text" placeholder="Reason for Leaving" name="Reason for Leaving"></td>
</tr>
<tr class="form-row">
<td class="form-col-1"><input type="text" placeholder="Location:" name="Location:"></td>
<td class="form-col-2"><input type="text" placeholder="Employment Dates:" name="Employment Dates:"></td>
<td class="form-col-3"><input type="text" placeholder="Supervisor Name:" name="Supervisor Name:"></td>
</tr>
<tr class="form-row">
<td class="form-col-1"><input type="text" placeholder="Third Most Recent Employer:" name="Third Most Recent Employer:"></td>
<td class="form-col-2"><input type="text" placeholder="Last Position Held:" name="Last Position Held:"></td>
<td class="form-col-3"><input type="text" placeholder="Reason for Leaving" name="Reason for Leaving"></td>
</tr>
<tr class="form-row">
<td class="form-col-1"><input type="text" placeholder="Location:" name="Location:"></td>
<td class="form-col-2"><input type="text" placeholder="Employment Dates:" name="Employment Dates:"></td>
<td class="form-col-3"><input type="text" placeholder="Supervisor Name:" name="Supervisor Name:"></td>
</tr>
<tr class="form-row">
<td class="form-col-1"><input type="text" placeholder="Fourth Most Recent Employer:" name="Fourth Most Recent Employer:"></td>
<td class="form-col-2"><input type="text" placeholder="Last Position Held:" name="Last Position Held:"></td>
<td class="form-col-3"><input type="text" placeholder="Reason for Leaving" name="Reason for Leaving"></td>
</tr>
<tr class="form-row">
<td class="form-col-1"><input type="text" placeholder="Location:" name="Location:"></td>
<td class="form-col-2"><input type="text" placeholder="Employment Dates:" name="Employment Dates:"></td>
<td class="form-col-3"><input type="text" placeholder="Supervisor Name:" name="Supervisor Name:"></td>
</tr>
</tbody>
</table>
</div>
</div>
<p><!--end--><br />
<!--form-top-h-wrapper--></p>
<div class="form-top-5-fields-wrapper form-fields-wrapper">
<div class="table-block">
<table class="form-table form-table-1">
<thead>
<tr class="form-row">
<th class="form-col-1"><strong>Part 5: Technical Experience</strong>Identify your experience and indicate your years of experience.</th>
<th class="form-col-1">Less than 1</th>
<th class="form-col-1">1</th>
<th class="form-col-1">2</th>
<th class="form-col-1">3</th>
<th class="form-col-1">4-5</th>
<th class="form-col-1">6-7</th>
<th class="form-col-1">8+</th>
</tr>
</thead>
<tbody>
<tr>
<td class="form-col-1">
<div class="row-1">Indicate industry experience: <label><input type="checkbox"> Manufacturing</label> <label><input type="checkbox"> Assembly</label> <label><input type="checkbox"> Production</label> <label><input type="checkbox"> Mill</label></div>
<div class="row-2"><input placeholder="Identify type of facility:" name="Identify type of facility"></div>
</td>
<td class="form-col-2"><input type="checkbox"></td>
<td class="form-col-3"><input type="checkbox"></td>
<td class="form-col-4"><input type="checkbox"></td>
<td class="form-col-5"><input type="checkbox"></td>
<td class="form-col-6"><input type="checkbox"></td>
<td class="form-col-7"><input type="checkbox"></td>
<td class="form-col-8"><input type="checkbox"></td>
</tr>
<tr>
<td>Supervisory/Management Experience</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Safety and OSHA Compliance Experience</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Performing Measurements to the 1/16 of an inch</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Fabrication [e.g., metal working, welding etc.]</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Geometric Dimensioning and Tolerances Experience</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Reading Manual Drawing and Blueprints</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Industrial Instrumentation Experience</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Reading Electrical Diagrams</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Electrical [e.g., wiring, terminating, mounting electrical boxes, bus bar assembly]</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Wiring Electrical Systems <labe><input type="checkbox"> DC</labe> <label><input type="checkbox"> AC</label></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Conduit Bending</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Pressure pot painting</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Mobile Equipment Operation / Repair (forklift, mobile crane)</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Safety Precautions <labe><input type="checkbox"> Hot work permit</labe> <labe><input type="checkbox"> Lockout/Tag out</labe> <labe><input type="checkbox"> Other:</labe></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Emergency Response Training</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Sheet Metal Machine Operation [e.g., CNC laser, shear, CNC brake press] (circle ones you’ve used)</td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
<tr>
<td>Warehouse/Shipping Experience <label><input type="checkbox"> Epicor Software</label> <label><input type="checkbox"> Machine scheduling and trim techniques</label> <label><input type="checkbox"> Inventory Counting</label> <label><input type="checkbox"> Computer Data Entry</label> <label><input type="checkbox"> Identify any other:</label></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
<td><input type="checkbox"></td>
</tr>
</tbody>
</table>
</div>
</div>
<!--end-->
<div>Please list any other current skills you have that may be specifically relevant to the position for which you are applying.</div>
<p>[/vc_column_text][vc_cf7_elements][submit "Submit"][/vc_cf7_elements][/vc_column][/vc_row]</p>