Lineal Recruiting: Employment and Recruiting for electrical, electronic, mechanical and technical professionals and engineers.

	Lisa Lineal Lineal Recruiting Services 7 Wainwright Road, Unit 108 Winchester, MA 01890	Phone: 781-729-2225 Toll Free: 877-386-1091 Fax: 781-729-0121 lisalineal@lineal.com

Today is: March 10, 2010

READ THIS FIRST

Please complete the following questionnaire. All information provided will be handled with the utmost discretion.

We realize these forms will take you some time to complete. Employers today often prefer information supplied to them in electronic format. The more information you supply to us online, the quicker we can assist your job search.

You may discreetly share information about me whenever you think appropriate positions come up to all but my present employer.
Please do not send out any information about me without contacting me first.

CANDIDATE APPLICATION (FORM A)
GENERAL INFORMATION

Your Title: Mr. Mrs. Ms. Dr. Nickname:

First Name: Middle Initial/Name: Last Name:

Street Address:

City:

Apartment or Unit Number:

State/Prov: Zip/Postal Code:

Country:

Is this a permanent address?
or temporary address?

Home Phone w/Area Code:

Work Phone w/Area Code:

Pager w/Area Code:

Cell Phone w/Area Code:

Fax w/Area Code:

Is this a Home Fax? or a Work Fax?

Main Email Address:

Alternate Email Address:

If you do not have an email address, please enter "noemail@lineal.com", without the quote marks,
in the above box.

Do you want a copy of the data from these forms...
Emailed to your Main Email Address:
Do not email copy of the data from these forms:

Can receive calls at work, if handled discreetly? Yes:, No:

Are you legally entitled to work in the US? Yes:, No:

For housing, check all that apply:
Own your home:
Rent your home:
Live with parents:
Military housing:
Have other living arrangements:

Please indicate if someone other than yourself is completing this form.
No? Yes?

VERY IMPORTANT! Please supply us with the name, relationship and phone number of someone not living with you who will know your whereabouts, should you relocate, change phone numbers, etc.
Name:
Relationship: (parent, relative, friend, etc.):
Phone number w/area code:

CURRENT EMPLOYMENT INFORMATION

If you are currently unemployed, please provide the information for the most recently held job.

Current Position:

Date Started:

Current Company:

Date Finished:

Affiliate or Parent Company:

Check if still employed:

Total number of years in the electrical/ mechanical/ electronics industry:

Approximately how many people work in your shop or facility?

Approximately how many people (if any) do you supervise?

Current BASE salary:
$
hourly
monthly
yearly

Last year's W-2 total earnings including base, commissions, overtime, bonuses, etc.
$

Realistic salary expected in a new position:
$
hourly
monthly
yearly

Do you presently receive:
Company Car:	Yes, No
Paid Overtime:	Yes, No
Bonus:	Yes, No
Commission:	Yes, No
Paid Expenses:	Yes, No
Total Bonus and Commission expected this year

I have worked:
union
non-union
managed union
managed non-union

Presently, I am a:
union member
non-union

What languages do you read, write and speak reasonably well?
English
Arabic
Chinese
French
Hindi
Japanese
Russian
Spanish
Languages other than above that you read, write and speak reasonably well:

If you are currently in the Military, please indicate end of obligated service (mm/yy):

What is your MOS or military specialty?

Briefly, why do you want to change jobs?

Briefly, what are your greatest strengths?

TRAVEL AND RELOCATION PREFERENCES

I now travel:
none
light
moderate
heavy

I will travel:
none
light
moderate
heavy

Assuming you are presented with a reasonably good opportunity in a reasonably nice area, what chance is there that you would relocate?
excellent
very good
good
fair
remote
none

Indicate which statement best describes you/your family's feelings on relocation:
1. I/we will relocate.
2. I/we prefer to relocate.
3. I/we will relocate, but only to the areas listed below.
4. I/we would relocate, but not before (mm/yy):
5. I/we strongly prefer not to relocate.
6. I/we will not relocate.

What areas are you willing to consider for relocation?

South
Midwest
Southeast
Northeast
Southwest
Northwest

Canada
Mid-Atlantic
Overseas
Continental U.S.
No preference
Will not relocate

I/we prefer:
metro area
medium town
rural area

I/we prefer the following specific area(s) / cities:

Which states/locations would you be most interested in hearing about (willing to relocate to)? Please use the list below.
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Wash. DC Florida Georgia Hawaii	Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota	Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York N. Carolina N. Dakota Ohio	Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island S. Carolina S. Dakota Tennessee Texas Utah Vermont Virginia	Washington West Virginia Wisconsin Wyoming

EDUCATIONAL BACKGROUND
Please select the category or categories below
that best describe your educational background.

Ph.D. or Doctorate:	Electrical Eng. or EET Mechanical Engineering Electronics Industrial Engineering Physics Aerospace Computers/IT	Marine Power Systems Aerospace Business Marketing Other:

Masters or MBA:	Electrical Eng. or EET Mechanical Engineering Electronics Industrial Engineering Physics Aerospace Computers/IT	Marine Power Systems Aerospace Business Marketing Other:

Bachelor's, BA, BS, or 4 year degree:	Electrical Eng. or EET Mechanical Engineering Electronics Industrial Engineering Physics Aerospace Computers/IT	Marine Power Systems Aerospace Business Marketing Other:

Associates or 2 year degree:	Electrical Eng. or EET Mechanical Engineering Electronics Industrial Engineering Physics Aerospace Computers/IT	Marine Power Systems Aerospace Business Marketing Other:

Apprenticeship / Certificates / Licenses:	Apprentice Journeyman 52E Military Training NETA Professional Engineer	Nuclear Certified Some College - No Degree Thermography Vibration Analysis Votech Millright Other:

EXPERIENCE, PRODUCT KNOWLEDGE, SKILLS

PLEASE READ THIS NOW

Below are three important lists. Please choose ONLY the boxes where you have SUBSTANTIAL EXPERIENCE. Please try to limit the number of desired positions, to 10.

Check marks of bolded categories will prompt additional in-depth technical questions in FORM B.

Previous Experience and Desired Position(s)

Substantial
Experience

Desired
Position

Experience/Position

Substantial
Experience

Desired
Position

Experience/Position

		Winder
		Motor Repair Mechanic / Apparatus Repairman
		On-site Work
		Test & Inspect
		Machinist
		Welding
		Coil Manufacturing
		Generator Specialist
		Diesel Generator/Engine Mechanic

		Leadman, In-shop or Working Foreman
		On-site Lead Person
		Electrical Foreman
		Mechanical Foreman
		General Foreman
		Shop Superintendent
		Plant or Shop Operations Manager
		Plant Engineer
		Production Control/Scheduler
		Quality Control & Assurance

		Customer Service Representative
		Customer Service Supervisor
		Application Engineer
		Inside Sales
		New Equipment Sales
		Service Sales
		Product and/or Marketing Manager
		R&D Product Developement Engineer/Mgr
		Instructor / Trainer
		Sales Manager
		General Manager
		Regional / Division Manager / President

		Circuit Breaker Technician
		Switchgear Specialist
		Field Service Engineer
		Field Service Technician
		Start-up - Commissioning / Tech / Engineer / Mgr
		Transformer Field Service / Test Repair
		SCADA Engineer / Technician
		NETA Certified Engineer / Technician
		Instrumentation / Control Technician
		Protective Relay Engineer
		Power Systems Engineer


		Service Coordinator
		Engineering Supervisor
		Engineering Manager
		Manager, Engineering Services

		Project Engineer
		Project Manager
		Specification Engineer
		Quoting/Estimator
		Design Engineer
		Design Manager

		UPS Engineer / Technician / Manager
		Electronics Engineer
		Electronics Repair
		Power Quality Engineer

		Process Control Engineer
		Manufacturing Engineer
		Mechanical Engineer
		Electrical Engineer
		Manager, Parts Manufacturing

		Electrical Utility Engineer / Technician
		Power Plant/Control Room Operator/Engineer
		Reliability Engineer
		Rotating Machinery Vibration Engineer/Tech
		Facility Maintenance Engineer/Tech/Mgr
		Maintenance Mechanic
		Predictive / Preventive Maintenance

		Geothermal Power Expertise
		Hydro Power Expertise
		Nuclear Power Expertise
		Solar Power Expertise
		Wind Power Expertise
		Wind Power Up-Tower Expertise
		Wind Farm Expertise

Please describe any positions you have held that not covered here or related positions you would like to have in the future.

Product Knowledge

Anti-Friction Bearings
Babbitt Bearings
Commutators / Brushes
Circuit Breakers
Coils
Compressors
Controls
Power Distribution/Transmission Equipment
Drives / Inverters
Rotating Apparatus Drive Systems
Generators
Turbine Generators
Hoists & Cranes
Insulation / Varnish
Motors
Rotating Apparatus
Motor Control Centers
Servo Motors
Hydros

Programmable Controllers
Pumps
Robotics
Seals
Sleeve Bearings
Solid State / Electronic Components
Switchgear
Test Instruments
Lifting Magnets
Welders
Wire & Cable
Transformers
UPS
3 phase power conversion equipment
Substations
Protective Relay Systems
Governors
Switchboards
Other Products:

Personal Skill Set

Alignment / Balancing
Assembly / Disassembly
Coil Manufacturing
Design
Dynamic Balancing
Estimating / Quoting
Field Servicing
Flame Spray
Infra-Red Scanning / Thermography
Installation
Installation Supervision
Lathe Work
Machining
Manufacturing
Management
Mechanical Repair
Production Scheduling
Sales New Equipment
Sales Service
Start Up / Commissioning

Surge Testing
Trouble Shooting
Vibration Analysis
VPI
Welding
Winding
Circuit Breaker Retrofit and Refurbishing
On-site work
Power System Studies
Turnkey Projects
Protective Relay Systems
Proposal Writing
Specification Work
Switchgear modification / redesign
Other Skills:

OTHER GENERAL SKILL INFORMATION

Can you fabricate from drawings:

Yes No Somewhat

Can you read blueprints/design prints:

Yes No Somewhat

Can you read schematics:

Yes No Somewhat

Can you read wiring diagrams:

Yes No Somewhat

Rate your level of expertise and familiarity with computers:

Type of computers and software used:

List any licenses, certificates, or specialized training:

Please choose ONE of the following: "I am strongest in"�

A) Rotating Apparatus ie: motors, generators, (or mechanical repair i.e., pumps.)
B) Electrical/Electronic Power Equipment ie: switchgear or controls.
C) Both of the above equally.
D) Other

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Please DO NOT click it again - you may have to re-complete and re-submit the form again.

There is a great deal of data being processed, please be patient.
It may take a minute or so to get to FORM B.


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