Process Technical Services, Inc.
Job Applicant Review Form
Process Technical Services is seeking individuals for projects in-house or at various client facilities.  These projects typically consist of plant commissioning/startup, operating or maintenance using client personnel for technical information.  In addition, some projects require the writing of procedures, technical or training manuals, and other documentation. The information you provide will be used to help PTS select qualified individuals to be interviewed.  All information provided will be handled in strict confidentially and will be used solely for personnel qualification evaluation purposes.
 
 Provide the following (Please verify all information for accuracy) Permission to contact by
Name  
Address Yes
City, State Zip  
Phone Work Yes
Phone Cell Yes
Phone Home Yes
E-mail Yes
 (Section 1) Indicate your years of experience by industry.  (Specify operating units)
Chemical  years Refining  years Manufacturing   years
Power–Fossil years Mining   years Power – Nuclear years
Pulp and Paper years Exploration   years Petrochemical years
Pipeline years    
Comments
 
 (Section 2) Indicate your years of experience by discipline.
Administrative  years Maintenance  years Construction   years
Operations  years Engineering  years Project Management  years
Health & Safety  years Commissioning  years Laboratory  years
Programming/Configuration  years    
Comments
 
..(Section 3) Indicate your years of experience with the following software programs.
Operating Systems
 Yr
Yr
Yr
Yr 		Graphics Program
 Yr
Yr
Yr
Yr 		Word Processing
 Yr
Yr
Yr
Yr
Spreadsheets
 Yr
Yr
Yr
Yr 		Database
 Yr
Yr
Yr
Yr 		Other  (i.e. CAD/Design/Engineering
 Yr
Yr
Yr
Yr
Comments
 
 (Section 4) Indicate the type of documents personally written.  Also enter the amount of each type written.
 Administrative procedures Environmental procedures Laboratory procedures
Training objectives Lesson plans Training materials
Maintenance procedures Operating procedures Program management plans 
Technical manuals PSM elements – specify  
Comments
 
(Section 5) Indicate items performed.  Indicate total number of times each item was performed.
Classroom instruction Computer based training development
Job analysis Task analysis
Operator OJT training material development Operator qualification program development
Training content design Training needs assessment
Maintenance OJT training material development I/E OJT training material development
Maintenance qualification program development I/E qualification program development
Comments
 
 (Section 6) Describe any personnel interviews conducted by you.
 
 (Section 7) Indicate items you can read.
Arrow diagrams MSDS Electrical schematics
P&ID Logic diagrams Other    
     
 (Section 8) Indicate regulations with which you are familiar.
10 CFR    29 CFR     30 CFR     40 CFR     49 CFR     CFR 1910.119
 
 (Section 9) ndicate your current or last salary range (annual).
$20,000 - $30,000 $30,000 - $40,000 $40,000 - $50,000
$50,000 - $60,000 $60,000 - $70,000 Over $70,000
     
 (Section 10) ndicate the area to which you would relocate (check all that apply).
Gulf Coast U.S. Northwest U.S Southeast U.S
Southwest U.S. Northeast U.S. Midwest U.S.
Canada Mexico International
     
 (Section 11) Indicate by checkbox your availability for work.
Immediately Two-week notice Other
     
 (Section 12) Use the following space to provide any additional information (professional affiliations, awards, certifications, licenses, specialized training, etc.). (500 characters or less)
 
By pressing the submit button below, you are confirming that the
information provided is true and correct to the best of your knowledge.