Name: Phone:			SAMPLE
Basic 8 Hour Safety Course complete?				Drug Screen Required before badging for plant entry.
Background Check Required?				Background Check Required.
Date of Last Drug Testing?				Acetate Frame Safety Glasses only, No wire rims.
Self Profile:		Scale of 1-7		How Many Years Experienced As A MillWright?
Your level of experience from 1 to 7. (7 being highest)				Have you ever worked in a Nuclear Plant?
Skill Sets:				Desierd Daily Straight Time Hourly Pay?
	Read a Micrometer			(Actual Rate of pay depends on Experience & Client wages)
	Reverse Alignment Dial Indicator			Have you always stayed on the job until released by supervisor?
	Optical Alignment /Laser /Other			If No, Why?
	Set Pumps, Motors, Gear Boxes
	Read Inside snap gages
	Outside calipers
	4" Starret level			List Millwright Experience in Last Five (5) Years.
	Read a Blueprint			Name of Plants you have worked in, equipment worked on:
	Lift and move machinery
	Vibration analysis
Equipment Experience Level:
	Turbines Steam up to 100MW
	Westinghouse Siemens Delaval ABB or other, list:			List Achievements, Education or other Training:
	General Electric/ Worthington
	Positive Disp. Compressors
	Dynamic Compressors
	Installation Start-Ups			Welding Skills:
	Maintenance or Repairs			Certified Tested Expiration Date?
	Pumps/ Motors/gear boxes			Section 9 ASME, Stainless Steel, Inconel, small diameter Pipe.
				Requires 5 years expereince, 4 References, pass test,
Other:				prior to being on site prepared by client(s).
	Skilled in Control Systems			R' Stamp for boiler and tube?
	Plant Operations			Other Welding Skills / Details?
Commets You would like to make for improvements to this form?