Maker Professional

Maker Professional
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Phone Number

Area CodePhone Number
Date of Birth
Race/Ethnicity

Black or African AmericanAmerican Indian or Alaska NativeWhiteHispanic or LatinoAsianNative Hawaiian or Pacific IslanderOther

Skill Level at Current Job

	1	2	3	4	5

1 is Beginner, 5 is Advanced

Skills, Experience, Goals
Do You Have Any Manufacturing Experience
List skills you may have that to work in manufacturing.*
Career Objectives*
Career Flexibility (How willing are you to...)

Train for skill upgradesLearn multiple tradesChange locationWork various shiftsTry new thingsChange career pathChange jobsMulti-task
Other Interests
How did you find out about the Maker Professional?

Evaluate the following attributes:*

	Disagree	Neutral	Agree
Quality Oriented
Follows Detailed Instructions
Attention to Detail
Visualization
Cooperative
Hardworking
Structured Work Ethic
Reliable
Obtaining Information
Analytical Thinking
Decision Making
Integrity

Please evaluate your skill level for the following:*

	I'm in need of help	Intermediate	Advanced	I am able to teach this skill
Verbal Communications
Reading Technical Manuals
Active Listening
Critical Thinking
Time Management
Project Planning
Written Communication
Report Writing
Customer Service Ability
Judgement and Decision Making
Coordinate and Monitor

I am able to perform the following skills:*

I am able to perform this work:*

	With Supervision	Independently	I am able to teach this work
Fabricate
Electrical
Assemble
Electronic
Install
Mechanical
Plan and Prepare
Production and Process Knowledge
Repair and Replace
Inspection
Operate Machines (Multiple, Simultaneously)
Preventative Maintenance

I am able to perform the following skills:*

Evaluate the following skills:*

I am able to perform these skills:*