Global Technical Training Services, Inc.

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Hartsville Office Client Contacts Recruiting / Field Support Sid Crouch phone 843.339.9874 fax 843.339.9528 P. O. Box 307 Hartsville, SC 29550	Gulf Coast Office Client Contacts / Recruiting Rob McAnnally phone 979.236.7248 P. O. Box 225 Bay City, TX 77414	Seneca Office Field Support / Recruiting Jackie Pate phone 864.882.3111 fax 864.882.1026 P. O. Box 1679 Seneca, SC 29679

PERSONAL

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Position Applying For : (Check all that applies)
Position Classification: Training Engineering Operations

Put a check by all Position Titles that apply to your selected Position Classification:

OPS	QA/QC	Maintenance	Human Performance
Elec/I&C	Support	Project Manager	Configuration Management
Design	Work Control	Procedure Dev.	Emergency Preparedness

Other:

Yes: No: Are you willing to Travel?

Yes: No: Are you willing to Relocate?

Yes: No: Are you willing to Work Overseas?

Yes: No: Are you a citizen of the US?

If you answer was No

Yes: No: Do you intend to become one?

If you answer was No
What type of VISA do yo have:

PROFESSIONAL LICENSES and/or CERTIFICATIONS

SRO License : SRO Certification : Date :

SOP Number :

Docket Number :

Registered Professional Engineer :

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BUSINESS REFERENCES

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PERSONAL REFERENCES

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MILITARY SERVICE

Have you served in the US Armed Services : Yes: No:

Date active duty started : Date of Discharge :

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GENERAL

Have you ever been convicted of a crime other than Misdemeanor: Yes No

If Yes, Please explain :

ALL APPLICANTS PLEASE READ BEFORE SUBMITTING

To Global Technical Training Services, Inc. (GTTSi): I hereby certify that my answers to the foregoing questions are true and correct to the best of my knowledge and belief. Global Technical Training Services, Inc. is hereby authorized to fully investigate my work records and qualifications either before or after (circle one) my employment and to facilitate such investigation. I hereby authorize any person(s) having knowledge thereof to provide such information to Global Technical Training Services, Inc. and I hereby release from liability and agree to hold harmless any person who furnishes such information in good faith. I understand and agree that any misrepresentation of facts contained in this application may cause for its cancellation or if employed, may cause for my dismissal.

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