Fillable Form 3: Exam No. 4607 For Official Use

Fill Online, Printable, Fillable, Blank Form 3: Exam No. 4607 For Official Use Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 3: Exam No. 4607 For Official Use

On average this form takes 75 minutes to complete

The Form 3: Exam No. 4607 For Official Use form is 7 pages long and contains:

  • 0 signatures
  • 10 check-boxes
  • 295 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Page 1 of 7
TRANSIT ELECTICAL HELPER
Open Competitive
Exam No. 4607
TRANSIT ELECTRICAL HELPER
Social Security Number __ __ __ __ __ __ __ __ __
Title of Exam:
________________________________
Exam No. __ __ __ __
☐
☐
Exam Type:
Promotion
For Official Use Only
Q
1
ST
_________
2
ND
_________
NQ
1
ST
_________
CODE______________
2
ND
__________
CODE______________
FINAL RATING:
3
RD
________
3
RD
_________
CODE______________
Entered By:
____________
EDUCATION AND EXPERIENCE TEST PAPER (EETP)
This test will evaluate your education and experience. To obtain appropriate credit, you must
complete this form accurately. Be sure to include your SOCIAL SECURITY NUMBER on each sheet.
If any information is missing, cannot be read or lacks necessary detail, you will be found NOT
QUALIFIED or receive a lower score on the test. The information on this form must be verifiable. You
will be disqualified if your statements are found to be false, exaggerated, or misleading.
Do not write your name anywhere on this EETP or attach your resume. Resumes will not be rated. Print using only Black or Blue Ink.
SECTION A - EDUCATION
Section A.1 - FOREIGN EDUCATION EVALUATION
FOR
OFFICE
USE
ONLY:
In order for foreign education to be rated, it must be evaluated by an evaluation service approved by MTA New York City
Transit's Examinations Unit. Follow the instructions
on the Foreign Education Fact Sheet, which is accessible online at
http://web.mta.info/nyct/hr/forms_instructions.htm, and refer to the Notice of Examination to see which kind of evaluation is
required for this exam. If you are claiming credit for foreign education, check only one of the following:
For this examination:
☐ I am having an evaluation of my foreign education submitted directly to MTA New York City Transit's Examinations Unit
using an approved evaluation service.
☐ I wish to use an evaluation of my foreign education which was previously submitted directly to MTA New York City
Transit's Examinations Unit by an approved evaluation service.
Section A.2 - HIGH SCHOOL, VOCATIONAL HIGH SCHOOL, OR HIGH SCHOOL EQUIVALENCY
Did you graduate HS? ☐ Yes ____/____ ☐ No
Month Year
Name of High School: __________________________________________________________ ☐ USA ☐ Foreign
Do you have a GED? ☐Yes ______/______ ☐ No Name of Agency issuing GED: _______________________
Month Year
You can find a sample EETP at “http://www.mta.info/nyct/hr/appexam.htm”
Use the sample EETP as guide for completing this EETP correctly.
Was it a Vocational High School? ☐ Yes ☐ No
High School located in the State of: _______________________________Country of: _______________________
Specialty (only if you attended Vocational High School) ________________________________________________
Open Competitive
☐
New York City Transit
☐
☐
☐
MaBSTOA
☐
MTA Bus Company
Assignment
Bridges and Tunnels
Staten Island Railway
☐
Applicant ID (If Known) __ __ __ __ __ __ __ __
FOR
OFFICE
USE
ONLY:
4606
4607
Section A.3 - TRADE SCHOOL
FOR
OFFICE
USE
ONLY:
If you attended a trade school, please complete the following:
Did you graduate? ☐ Yes _____/_____ ☐ No Expected Graduation Date: ___/___/___
Month Year
Name of Trade School: ___________________________________________________________ ☐ USA ☐ Foreign
Trade School located in the State of: _________________________________ Country of: ____________________
Specialty _____________________________________________________________________________________
Number of hours you completed in above specialty: _______
(If you attended other trade schools, report this information for each additional
school on a separate sheet of paper using the same format.)
Section A.4 – UNDERGRADUATE EDUCATION
Name of Undergraduate College/University: __________________________________________ ☐ USA ☐ Foreign
Address: ____________________________________________________________________________________
State: _________________________________________ Country: ____________________________________
Major: ______________________________________________________________________________________
Number of Credits You Have Completed in Major: ______ Total Number of Credits You Have Completed: _______
Do you have a Degree? ☐ Yes ☐ No Dates of Attendance: From _____/_____ To _____/_______
Month Year Month Year
Date Degree Received: _________________ Type of Degree: (check only one) ☐ Associate ☐ Baccalaureate
Exact Title of Degree: _________________________________________________________________________
(If you attended other undergraduate institutions and/or obtained more than one degree, report
this information for each additional institution on a separate sheet of paper using the same format.)
Section A.5 – GRADUATE EDUCATION
Name of Graduate College/University: ______________________________________________ ☐ USA ☐ Foreign
Address: ____________________________________________________________________________________
State: _________________________________________ Country: ____________________________________
Major: ______________________________________________________________________________________
Number of Credits You Have Completed in Major: ______ Total Number of Credits You Have Completed: _______
Dates of Attendance: From _____/_____ To _____/_______
Month Year Month Year
Date Degree Received: _________________________ Type of Degree: (check only one) ☐ Masters ☐ Other
Exact Title of Degree: _________________________________________________________________________
(If you attended other graduate institutions and/or obtained more than one degree, report
this information for each additional institution on a separate sheet of paper using the same format.)
Page 2 of 7
Social Security Number __ __ __ __ __ __ __ __ __
Exam Number __ __ __ __
FOR
OFFICE
USE
ONLY:
FOR
OFFICE
USE
ONLY:
4606
4607
SECTION B – MILITARY EXPERIENCE
INSTRUCTIONS
Use this sheet to document military experience if any. Use more than one sheet to describe different assignments. Use
more than one sheet to describe active and reserve duty.
You must complete all sections concerning your enlistment and you must describe your duties in detail. Failure to do so will
result in your disqualification. DO NOT ATTACH A RESUME. RESUMES WILL NOT BE RATED. Print using only black ink or
blue ink. You must not reveal your name anywhere on this test paper.
Describe relevant armed forces experience including active and reserve duties. List the percentage of time you spent on each
duty, task or function.
BOX 0
Dates of Active Enlistment: From: ______/______ To: ______/______ Total Time: _______/_______
Month Year Month Year
Year(s) Month(s)
Rank: ________________M.O.S. (Military Occupational Specialty title): _________________________________
Was Your Military Service: ☐ Active (full time) ☐Reserve (part time) Number of days per month: _______
Branch of Military: ____________________________________________________________________________
Last/Current Duty Station: ______________________________________________________________________
% Time
Describe each of your duties separately with percentages. (Required for rating)
= 100%Total Time Spent Performing These Duties
Page 3 of 7
Social Security Number __ __ __ __ __ __ __ __ __
Exam Number __ __ __ __
FOR
OFFICE
USE
ONLY:
4606
4607
SECTION B – EMPLOYMENT/WORK EXPERIENCE (PAID OR VOLUNTEER)
INSTRUCTIONS
You must complete all sections concerning your employment and you must describe your job duties in detail. Failure to do so will
result in your disqualification. DO NOT ATTACH A RESUME. RESUMES WILL NOT BE RATED. Print using only black ink or
blue ink. You must not reveal your name anywhere on this test paper.
Include relevant part-time and volunteer experience. If you are or have been in business for yourself, enter “self-employed” on
the line labeled “Name of Employer”. If you had a substantial change in duties or a return to work after a break in service with the
same employer, enter this information in separate boxes. List the percentage of time spent on each duty. The total of these
percentages must equal 100 percent.
BOX 1
Most Recent Employment: From: ______/______ To: ______/______
Month Year Month Year
Total Time: _______/_______
Year(s) Month(s)
Job Title: ____________________________________ Other name of your Job Title, if any: __________________
No. of Hrs. Worked per Week: __
____
N
a
me of Employer: ________________________________________________
_
___________________________
Address of Em
plo
ye
r: ___
___
___
__
___
__
__
___
__
___
__
__
___
__
___
__
__
_
__
__
___
__
__
___
__
___
__
__
___
__
___
Nature of Empl
o
y
er's Busin
es
s: __________________________________________________________________
% Time
Describe each of your duties separately with percentages. (Required for rating)
Total Time Spent Performing These Duties = 100%
You may describe other relevant jobs by adding additional sheets in the same format. Use a separate box for each job. Number
any additional job BOX 4, 5, 6 … etc.
Page 4 of 7
Social Security Number __ __ __ __ __ __ __ __ __
Exam Number __ __ __ __
FOR
OFFICE
USE
ONLY:
4606
4607
SECTION B – EMPLOYMENT/WORK EXPERIENCE (PAID OR VOLUNTEER)
BOX 2
Employment: From: ______/______ To: ______/______ Total Time: _______/_______
Month Year Month Year Year(s) Month(s)
Job Title: ____________________________________ Other name of your Job Title, if any: __________________
No. of Hrs. Worked per Week: ______
Name of Employer: ____________________________________________________________________________
Address of Employer: __________________________________________________________________________
Nature of Employer's Busines
s: __________________________________________________________________
% Time
Describe each of your duties separately with percentages. (Required for rating)
= 100%Total Time Spent Performing These Duties
Page 5 of 7
Social Security Number __ __ __ __ __ __ __ __ __
Exam Number __ __ __ __
FOR
OFFICE
USE
ONLY:
4606
4607
SECTION B – EMPLOYMENT/WORK EXPERIENCE (PAID OR VOLUNTEER)
BOX 3
Employment: From: ______/______ To: ______/______ Total Time: _______/_______
Month Year Month Year Year(s) Month(s)
Job Title: ____________________________________ Other name of your Job Title, if any: __________________
No. of Hrs. Worked per Week: ______
Name of Employer: ____________________________________________________________________________
Address of Employer: _______________________________________________________________________
___
Nature of Employer's Business: __________________________________________________________________
% Time
Describe each of your duties separately with percentages. (Required for rating)
= 100%Total Time Spent Performing These Duties
Page 6 of 7
Social Security Number __ __ __ __ __ __ __ __ __
Exam Number __ __ __ __
FOR
OFFICE
USE
ONLY:
4606
4607
SECTION C – LICENSES AND CERTIFICATES
Refer to the Notice of Examination to see if a license or certificate is required. If it is, and you possess this license or certificate,
fill in the following information. You may describe additional licenses or certificates on a separate sheet of paper using the same
format.
Drivers License:
Class:_____ Check all endorsements currently on your license: ☐ Hazardous Waste ☐ Air Brake ☐ Passenger
State Where License was issued: ___________ License Number: ____________________________________
Date Issued: ____________________ Expiration Date: ___________________
Other Licenses/Certificates:
Title of License or Certificate: ____________________________________________________________________
Issued by: ___________________________________________________________________________________
License Number: ______________________________________________________________________________
Date Issued: ____________________ Expiration Date: ___________________
SECTION D – SELECTIVE CERTIFICATION(S)
If you want to apply for Selective Certification as described in the Notice of Examination, complete this section.
I am requesting selective certification(s)
for:_____________________________________________________________
SECTION E – SUBMISSION CHECKLIST
(Optional)
☐ Yes, my 9 digit social security number and exam number is included on every page of this document.
☐ No, I did not include my name anywhere in this document.
☐ Yes, I have read the Notice of Examination and filled out only the sections that are required for the position I am applying for.
☐ No, I have not included my resume because only this form will be evaluated.
☐ Yes, I have used extra sheets of paper to list schools and previous employment that did not fit on this form.
☐ Yes, I have listed more than 1 duty for each place of employment included and those duties add up to 100%.
☐ Yes, I have listed the class, endorsements and restrictions for my drivers license. (If the position requires a drivers license)
Page 7 of 7
Social Security Number __ __ __ __ __ __ __ __ __
Exam Number __ __ __ __
FOR
OFFICE
USE
ONLY:
FOR
OF
FICE
USE
ONL
Y:
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 3: Exam No. 4607 For Official Use

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 27 October 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document