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INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL ERVICES Windemuller Technical Services is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify representative of the organization. PLEASE PRINT and FILL OUT ALL SECTIONS (Incomplete applications will not be considered) Applicant Information: NAME: CELL PHONE: EMAIL ADDRESS: CURRENT ADDRESS: STATE: ZIP CODE HOME PHONE: CITY: Employment Position: POSITION APPLYING FOR: DATE YOU CAN START: IF HIRED: Can you work weekends yes no Can you work evenings yes no Are you available to work overtime yes no Salary desired: Personal Information: Have you ever applied to/worked for Windemuller Technical Services, Inc. before yes no If YES, please explain (include dates) Do you have any friends, relatives, or acquantances working for this Company yes no If YES, state name & relationship If hired, would you have transportation to work Are you a U.S. Citizen , U.S. National, lawful permanent resident,lawful temporary resident or applicant therefor, asylee, or refugee?(The term "lawful temporary resident" does no refer to non-immigrants holding short-term Visas issued by the U.S. Consulates abroad, such as B,F, or H-1B Visas) yes no If NO, please state your current non-immigrant status: If NO, please also provide the date when this status expires, if any:

INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

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Page 1: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

INDEMULLER APPLICATION FOR EMPLOYMENT

ECHNICAL

ERVICES

Windemuller Technical Services is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify representative of the organization.

PLEASE PRINT and FILL OUT ALL SECTIONS (Incomplete applications will not be considered)

Applicant Information:

NAME: CELL PHONE: EMAIL ADDRESS: CURRENT ADDRESS:

STATE: ZIP CODE

HOME PHONE:

CITY:

Employment Position:

POSITION APPLYING FOR: DATE YOU CAN START: IF HIRED: Can you work weekends yes no Can you work evenings yes no

Are you available to work overtime yes no Salary desired:

Personal Information:

Have you ever applied to/worked for Windemuller Technical Services, Inc. before yes no If YES, please explain (include dates)

Do you have any friends, relatives, or acquantances working for this Company yes no If YES, state name & relationship

If hired, would you have transportation to work

Are you a U.S. Citizen , U.S. National, lawful permanent resident,lawful temporary resident or applicant therefor, asylee, or refugee?(The term "lawful temporary resident" does no refer to non-immigrants holding short-term Visas issued by the U.S. Consulates abroad, such as B,F, or H-1B Visas) yes no If NO, please state your current non-immigrant status: If NO, please also provide the date when this status expires, if any:

Page 2: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

Part 1-Page.2 INDEMULLER

..ECHNICAL ERVICES

Have you ever been convicted of or plead no contest to a crime (felony or misdemeanor) yes no If YES, please describe the crime-state nature of the crimes(s), when and where and disposition of the case

(Note: No applicant for employment will be disqualified solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.

Are you over the age of 18 yes no

Education, Training and Experience

School Name Address City, State, Zip #years completed

Course completed

Graduated

High School

College

Graduate School

Military: Branch: Rank in Military: Total years in Service: Skills/duties: Related details .

Additional Information: Do you speak, write or understand any foreign languages? yes no If, YES, describe which language(s) and how fluent of a speaker you consider yourself to be:

Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, Do they make you especially suited for working with us? yes no If, YES, please explain:

References: Name: Address

Phone#

Occupation

Name: Phone# Address Occupation

Name: Phone# Address Occupation

Page 3: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

Part 1- Page 3

INDEN1ULLEf-Z ECHNICAL

ERVICES EMPLOYMENT EXPERIENCE

List each job held. Start with your present or last job. Include military experience. If known by any other name, please indicate.

EMPLOYER WORK PERFORMED

FROM TO

ADDRESS

JOB TITLE SALARY

START FINAL

SUPERVISOR CONTACT PHONE NUMBER

REASON FOR LEAVING

May we make inquiries of this employer? ❑ Yes ❑ No

EMPLOYER WORK PERFORMED

FROM TO

ADDRESS

JOB TITLE SALARY

START FINAL

SUPERVISOR CONTACT PHONE NUMBER

REASON FOR LEAVING

May we make inquiries of this employer/ ❑ Yes ❑ No

EMPLOYER WORK PERFORMED FROM TO

ADDRESS

JOB TITLE SALARY

START FINAL

SUPERVISOR CONTACT PHONE NUMBER

REASON FOR LEAVING

May we make inquiries of this employer? ❑ Yes ❑ No

EMPLOYER WORK PERFORMED

FROM TO

ADDRESS

JOB TITLE SALARY

START FINAL

SUPERVISOR CONTACT PHONE NUMBER

REASON FOR LEAVING

May we make inquiries of This employer? U Yes ❑ No

EMPLOYER WORK PERFORMED FROM TO

ADDRESS

JOB TITLE SALARY

START FINAL

SUPERVISOR CONTACT PHONE NUMBER

REASON FOR LEAVING

May we make inquiries of this employer? ❑ Yes ❑ No

Page 4: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

J INDEMULLER 1gCHNICAL

ERVICES Part 1-Page. 4

Please place a check next to each item you have had prior experience in and can do with no supervision Ability to perform all functions is not required

Electrical Skills Read and interpret electrical drawings Read and interpret wiring schematics Read and interpret ladder diagrams Use hand benders & make all standard bends quickly & accurately Use roll benders to bend quickly and accurately Use hydraulic benders to bend quickly and accurately Use and read voltage tester safely and accurately Use and read amprobe safely and accurately Set up and operate powervise to cut and thread conduit

Set up and use electric wirepuller Can use hand tools such as hacksaws, drill motors, pliers, screw drivers Can use hydraulic knockout punches safely and accurately Can identify most electrical material by size & common name

Can do motor control wiring Can install and wire fire alarm systems Can install sound cable, speakers, and microphone jacks & volume controls Can layout an install light fixtures

Can install and wire programmable controllers Can program controllers Can do control panel layout and wiring Can troubleshoot printed circuit boards

Can repair printed circuit boards Can make 5-15 KV hi-voltage terminations Can safely open and close hi-voltage switches Can safely change most types of hi-voltage fuses Can read and follow project specifications Can set up and operate core-drill

Can set up thermoweld molds and use charges safely Can ser up, maintain, and safely operate all sizes of hammer drills

Can install emergency generator systems Can install computer equipment Can install and wire transformers Non Electrical Skills Can safely operate and maintain powerlifts Can safely operate dump truck Can safely operate boom truck Can safely operate forklifts Can weld most metals Can safely operate semi tractor with trailer

Can climb poles Other Skills Signature

Page 5: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

Part 1-page. 5

Schooling. Training. and Licenses 4 I NDEMULLER

ECHNICAL ERVICES

Have you graduated from an electrical apprenticeship school? yes no If, YES, which one: Where

Have you completed any vocational school courses in electricity? yes no If, YES, where: What kind

Have you taken and completed any courses in electronics? yes no If, YES, where and which courses:

Do you have a journeyman's electrical license? yes no If, YES, which state (s) are you licensed Active yes no How long have you been a Journeyman?

Do you have a Master Electricians License? yes no If, YES, which state (s) are you licensed Active yes no How long have you been a Master Electrician

I understand and agree that all policies, procedures, and the Employee Handbook may be modified, amended, or deleted by Windemuller Technical Services, Inc. with or without notice to me of such amendment, modification, or deletion: I became an employee at the Company voluntarily. I understand and acknowledge that there is no specified length to my employment at the Company and that my employment is at will. I understand and acknowledge that "at will" means that I may terminate my employment at any time, with or without cause or advance notice. I also understand and acknowledge that "at will" means that the Company my terminate my employment at any time, with or without reason or advance notice, as long as they do not violate federal or state laws. There may be no amendments or exceptions to this statement unless they are in writing and signed by the Company's President or Vice President. (Applicants initials)

I certify that all information given on this employment application; any resume that I submit to Windemuller Technical Services, Inc.; and any related papers and answers given during oral interviews are true and correct. I understand the company will make a thorough investigation of my work and personal history. I authorize the giving and receiving of any such information requested by the company during the course of such investigation and any derogatory information discovered as a result of this investigation may subject me to immediate dismissal. I hereby release from liability all persons who provide information to my employer during the course of any such investigation. (Applicants initials)

Applicants Signature

Printed Name Date

Page 6: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

Part 1- Page 6

ELECTRICIAN or APPRENTICE JOB DESCRIPTIONS

INDEMULLER TECHNICAL

ERVICES

Job Tasks: Initial each one you read

Strip insulation from wire ends, using wire stripping pliers, and attach wires to terminals for subsequent soldering

Thread conduit ends, connect couplings, and fabricate and secure conduit support brackets, using hand tools.

Construct controllers and panels, using power drills, drill presses, taps, saws and punches.

String transmission lines or cables through ducts or conduits, under the ground, through equipment, or to towers.

Clean work area and wash parts.

Erect electrical system components and barricades, and rig Scaffolds, hoists, and shoring.

Install copper-clad ground rods, using a manual post driver, or electric hammer.

Raise, lower, or position equipment, tools, and materials, using hoist, hand line, or block and tackle.

Dig trenches or holes for installation of conduit or supports by hand or trencher.

Requisition material, using warehouse requisition or release forms.

Bolt component parts together to form tower assemblies, using hand tools.

Paint a variety of objects related to electrical functions.

Operate cutting torches and welding equipment, while working with conduit and metal components to construct devices associated with electrical functions.

Break up concrete, using airhammer, to facilitate installation, construction, or repair of equipment.

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Part 1- Page 7

.lob tasks cont.

Solder electrical connections, using soldering iron.

Trim trees and clear undergrowth along right of way

Trace out short circuits in wiring, using test meter.

Measure, cut, and bend wire and conduit, using measuring instruments and hand tools.

Maintain tools, vehicles, and equipment and keep parts and supplies in order.

Drill holes and pull or push wiring through openings, using hand and power tools.

Perform semi-skilled and unskilled laboring duties related to the installation, maintenance and repair of a wide variety of electrical systems and equipment.

Disassemble defective electrical equipment, replace defective or worn parts, and reassemble equipment, using hand tools.

Transport tools, material, equipment, and supplies to work site by hand, hand truck, or heavy, motorized truck.

Examine electrical units for loose connections and broken Insulation and lighten connections, using hand tools.

Required Knowledge:

Building and Construction — Knowledge of materials, methods, and the tools involved in the construction or repair of houses, building, or other structures such as highways and roads.

Mechanical — Knowledge of machines and tools, including their designs, uses, repair, and maintenance.

Mathematics — Knowledge of arithmetic and their applications.

Customer and Personal Services — Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

Design — Knowledge of design techniques, tools, and principles involved in production of precision technical plans, blueprints, drawings, and models.

Page 8: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

Part 1- Page 8

Skills Required:

Troubleshooting — Determining causes of operating errors and deciding what to do about it.

Mathematics — Using mathematics to solve problems.

Installation — Installing equipment, machines, wiring, or programs to meet specifications.

Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made,asking

questions as appropriate, and not interrupting at inappropriate times.

Speaking — Talking to others to convey information effectively.

Reading Comprehension — Understanding written sentences and paragraphs in work related documents.

Time Management — Managing one's own time and the time of others

Equipment Selection — Determining the kind of tools and equipment needed to do a job.

Complex Problem solving — Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Critical Thinking — Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Abilities Required:

Manual Dexterity — The ability to quickly move your hand, your hand together with your arm, or your two hands to grasp, manipulate, or assemble objects.

Near Vision — The ability to see details at close range ( within a few feet of the observer)

Flexibility — The ability to bend, stretch, twist, or reach with your body, arms, and/or legs.

Information Ordering — The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of

rules (e.g. patterns of numbers, letters, words, pictures.

Page 9: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

Part 1 — Page 9

Problem Sensitivity — The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

Trunk Strength — The ability to use your abdominal and lower back muscles to support part of the body repeatedly or continuously over time without giving out or fatiguing.

Finger Dexterity — The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects.

Arm — Hand Steadiness — The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.

Static Strength — The ability to exert maximum muscle force to lift, push, pull or carry objects.

Multilimb Coordination — The ability to coordinate two or more limbs (for example, two arms, two legs, or one leg and one arm)

while sitting, standing, or lying down. It does not involve performing the activities while the whole body is in motion.

Job Activities:

Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.

Handling and Moving Objects — Using hands and arms in handling,installing, positioning, and moving materials, and manipulating things.

Communication with Supervisors, Peers, Or Subordinates-Poviding information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.

Performing General Physical Activities — Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.

Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work.

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Part 1- Page 10

Evaluating Information to Determine Compliance with Standards —Using relevant information and individual judgment to

determine whether events or processes comply with laws, regulations, or standards.

Updating and Using Relevant Knowledge — Keeping up — to — date technically and applying new knowledge to your job.

Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems.

Inspecting Equipment, Structures, or Material — Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.

Establishing and Maintaining Interpersonal Relationships —Developing constructive and cooperative working relationships with others, and maintaining them over time

Page 11: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

AUTHORIZATION FOR DRIVING/BACKGROUND/SOCIAL SECURITY CHECK

FOR APPLICANT/EMPLOYEE OF WINDEMULLER TECHNICAL SERVICES, INC.

I hereby authorize Windemuller Technical Services, Inc. through appropriate agents for the purpose of investigation and for application or employment purposes. I understand that, if employed, Windemuller Technical Services, Inc. may also request my motor vehicle and background & social security check from time to time during my employment. Therefore, I give Windemuller Technical Services, Inc. the right to investigate and check any of the above at any time. Both Windemuller Technical Services, Inc. and its employees, agents or servants are released from any and all liability which may result from any agent supplying this information.

(Applicant/Employee's Signature) (Date)

1. In accordance with the provisions of Section 604 and Section 607 of the Fair Credit Reporting Act, Public Law No. 91-508, Windemuller Technical Services, Inc. hereby certifies that the information requested below will be used for a "permissible purpose" as defined in the Act, and that the information received will be used for no other purpose. Further, Windemuller Technical Services hereby certifies that the information requested will not be used in violation of any federal or state equal opportunity law or regulation.

2. Windemuller Technical Services, Inc. hereby certifies that the applicant or employee named below is denied employment or if adverse employment action is taken based upon the information received, Windemuller Technical Services will identify the source of the report in accordance with Section 615(a) of the Fair Credit Reporting Act and produce a copy of the reports and a summary of the applicant/employee's rights to be applicant/employee.

WINDEMULLER TECHNICAL SERVICES

By: (Windemuller Representative) (Date)

Information below will be used solely for the purpose of MVR check, Background check, and Social Security check through an outside source of Windemuller Technical Services choice.

Please Print

NAME OF APPLICANT/EMPLOYEE:

ADDRESS:

FORMER ADDRESS (if less than a year)

DATE OF BIRTH: SOCIAL SECURITY #:

DRIVERS LICENSE # STATE:

Page 12: INDEMULLER APPLICATION FOR EMPLOYMENT ECHNICAL … · their designs, uses, repair, and maintenance. Mathematics — Knowledge of arithmetic and their applications. Customer and Personal

INDEMULLER —11ECHNICAL

ERVICES Part 1- Page 14

WINDEMULLER TECHNICAL SERVICES,

Pre -employment drug testing consent and release form

Consistent with this company's policy opposing drug and alcohol abuse we have implemented a pre- employment drug testing policy.

All job applicants at this company will undergo screening for the presence of illegal drugs or alcohol as a condition of employment.

Applicants will be required to voluntarily submit to a urine analysis test and breathalyzer test at a laboratory chosen by the company. Signing this consent agreement will release the company from liability.

Any applicant with positive test results will be denied employment.

The company will not discriminate against applicants for employment because of past abuse of drugs or alcohol. It is the current abuse of drugs or alcohol which prevents employees from properly performing their jobs that the company will not tolerate.

CONSENT

I hereby consent to submit to urine analysis and/or other tests required by Windemuller Technical Services in the selection process of applicants for employment, for the purpose of determining drug use.

I agree that QUEST Clinical Laboratories may collect these specimens for these tests and may test them or forward them to a testing laboratory designed by the company for analysis.

I further agree to and hereby authorize the release of the results of said tests to the company.

I further agree to hold harmless the company and it's agents including the above named physicians or clinic from any liability arising in whole or in part , out of the collection of specimens, testing and use of the information from said testing in connection with the company's consideration of my application of employment

I have carefully read the foregoing and fully understand its contents. I acknowledge that my singing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone.

Applicant's name (please print)

Applicant's signature date

Witness' name ( please print)

Witness' signature date