Professional Technician

PROFESSIONAL TECHNICIAN MAGAZINE Qualification Card

Name
Address
City
State
Zip
Phone
Email

Is this address home or work?	Home Work

What is the principal equipment you maintain?	Heavy -duty trucks Light & medium-duty trucks Buses or coaches Construction equipment Agricultural equipment Marine vessels None of the above

What are your principal maintenance duties?: (choose all that apply)	General/preventive Gasoline engines Diesel engines Driveline components Suspension/steering Electrical/electronic systems Heating, ventilation and air conditioning Tires Trailers Paint & body Parts management Supervisor/maintenance director Other

What ASE medium/heavy truck certifications do you hold?	None Gasoline engines Diesel engines Drivetrain Brakes Suspensions and steering Electrical/electronic systems Heating, ventilation and air conditioning systems Preventive maintenance inspectionMaster Medium/Heavy Truck Technician

How many years of experience do you have in truck or equipment maintenance?	Less than one year 1-3 4-6 7-10 10+

What level of education have you completed?	High school/equivalent degree Technical school Two-year college Four-year college Post-graduate None of the above

Do you have influence over the purchase of items used in the maintenance and repair of trucks or equipment?	Yes No

Do you have military experience?	Yes No

Are you a member of a local maintenance council or organization?	Yes No

Personal Identifier: How many siblings do you have?