Copy Machine Operator II/Stockroom Clerk II 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):
Full time work
HS/GED
Part time work
Certificate
Area
Associate
Major
Bachelor
Major
Model/
Version
Used
Years of
Experience
Training
only (1)
Preformed
with help
(2)
Performed
unaided
(3)
Instructed
others (4)
Software Skills/Keyboarding:
(May be tested)
Keyboarding (wpm _____)
Windows Operating System
Word Processing (MS Word)
Spreadsheet (MS Excel)
Navigating the Internet
Other:
Equipment Skills:
Copy Machines
Personal computer, printer
Fax Machine
Drill Press/Paper Cutter
Folding Machine
Multi-Line Phones
Other:
Continued
Copy Machine Operator II/Stockroom Clerk II Skills Survey
Model/
Version
Used
Years of
Experience
Training
only (1)
Preformed
with help
(2)
Performed
unaided
(3)
Instructed
others (4)
Office Skills:
Grammar/Spelling/Proofreading
Sorting Mail
Customer Service
Filing
Multitasking
Self-manage time
Ordering Supplies/Price Checking
Other:
I have answered the above information to the best of my knowledge.
Signature: ______________________________________________ Date: ________________________
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