Media Technician III & Media/Sound Operator 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)
Office Equipment:
(May be tested)
Keyboarding (wpm _____)
Copy Machine
Fax Machine
Multi-line phones
Other:
Computer Hardware:
PC
Macintosh
Other:
Operating Systems:
Windows
Apple
Other:
Continued
2
Media Technician III & Media/Sound Operator II Skills Survey
Model/
Version
Used
Years of
Experience
Training
only (1)
Preformed
with help
(2)
Performed
unaided
(3)
Instructed
others (4)
Word Processing Software:
Microsoft Word
Other:
Spreadsheet Software:
Microsoft Excel
Other:
Database Software:
Microsoft Access
Other:
Audio/Visual Equipment:
Video Camera
DVD/Blu-ray Player
Video Projector
LCD Projection Panel
Film Projector
Overhead Projector
Satellite Receiver
PA/Sound System
Television/Video Monitor
Other:
I have answered the above information to the best of my knowledge.
Signature: ______________________________________________ Date: ________________________
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