GeneralSkillsSurvey
Name:______________________________________________Date:_______________________
Position:__________________________________________________________________________
Thisinformationbecomespartofyourapplication.Yourskills,expertise,andeducationwillberated
basedonyouranswers.Pleasefilloutthisformascompletelyaspossible.Undercolumns three
throughsix,checkthecategorythatbestshowsthedepth
ofyourexperience.Donotcheckmorethan
onecolumnperline.
Yearsofrelevantexperience: CheckDegrees(AttachTranscripts):
Fulltimework HS/GED 
Parttimework Certificate Area
Associate Major
Bachelor Major
Model/
Version
Used
Yearsof
Experience
Training
only(1)
Preformed
withhelp
(2)
Performed
unaided
(3)
Instructed
others(4)
OfficeEquipment:
(Maybetested)
Keyboarding(wpm_____)

CopyMachine

FaxMachine

Multilinephonesor
switchboards

Cashregisterorteller

Other:

ComputerHardware:
PC

Macintosh

Other:

OperatingSystems:
Windows

Apple

Other:

Model/
Version
Used
Yearsof
Experience
Training
only(1)
Preformed
withhelp
(2)
Performed
unaided
(3)
Instructed
others(4)
WordProcessingSoftware:
MicrosoftWord

Other:

SpreadsheetSoftware:
MicrosoftExcel

Other:

DesktopPublishingSoftware:
MicrosoftPowerPoint

Other:

AccountingSoftware:
Specify:

Ihaveansweredtheaboveinformationtothebestofmyknowledge.
Signature:______________________________________________Date:________________________
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