Assessment Clerk Skills Survey
Name: ______________________________________________ Date: _______________________
Position: __________________________________________________________________________
This information becomes part of your application. Your skills, expertise, and education will be rated based on
your answers. Please fill out this form as completely as possible. Under columns three through six, check the
category that best shows the depth of your experience. Do not check more than one column per line.
Years of relevant experience:
Check Degrees (Attach Transcripts):
(*relevant is defined as: customer
service, dealing with the public, dealing
with forms, accounts, records, etc.)
Version
Years of
Training
with help
unaided
Instructed
Office Equipment:
(May be tested)
Keyboarding (wpm _____)
Copy Machine
Fax Machine
Multi-line phones
Other:
Computer Hardware:
PC
Macintosh
Scantron
Other:
Operating Systems:
Windows
Apple
Other:
Word Processing Software:
Microsoft Word
Other:
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