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Bench Technician Application

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Your Name(required)
Street Address(required)
City(required)
Zip Code(required)
Phone number(required)
Email(valid email required)
Website
Where did you receive the majority of your computer operator training?
On-the-job Community College College or university Hands on and personal experience
Do you have experience maintaining logbooks or operating records?
Yes No
Do you have experience working by yourself, with minimal or no operator supervision?
Yes No
Indicate your level of experience working with customers.
No experience Some experience Moderate experience
Indicate your level of experience working with computer peripherals (e.g., printers, tape drives, scanners).
No experience Some experience Moderate experience can Extensive experience
Indicate the type of educational background that you have.
Cerifications
Additional Certifications
Indicate your level of knowledge regarding email systems.
Do you have a criminal history?
YES NO
Offer any additional information that you feel is important for a potential employer to know about you.(required)
Copy and paste your resume here:(required)
Where do you see yourself in five years time?(required)

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Request Service/ Info
1. Your Name(required)
2. Street Address(required)
3. City(required)
4. Zip Code(required)
5. Phone number
6. Email(valid email required)
7. Website
8. Describe your issues (required)
9. Has a repair attempt already been made?
10. Yes No
11. Preferred Contact Method
12. Phone E-mail
13. Equipment Brand(required)
14. Equipment Type(required)
15. Equipment Model(required)
16. How Did You Hear about us?(required)
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