Please Fill up your information in order to register yourself as a technician

 
Personal Information
First Name: *
Initial: *  
Last Name: *  
User Name: *  
Password: *  
Re Password:*
Date of Birth: (mm/dd/yyyy)
Company Name:
Federal Tax ID:
Social Security Number:
URL:
Street Address 1:
Street Address 2:
City:
State: *  
Zip/Postal:
Home Phone:
Work Phone:
Cell Phone:
Fax:
Ext:
Pager:
Email: *  
How did you hear about us?
Experience & Qualifications
UNIX Windows 2000 Windows 98 Windows NT Server
Novell MacIntosh Windows XP Home Windows ME
DOS Windows 95 Sun/Solaris Windows XP Pro
MS Exchange Windows XP Media Cen Windows NT Linux
Windows 2000 Server Windows Server 2003 Windows Vista AIX
Windows Server 2008 Unisys Server        
My networking skills are:   *
My Hardware Knowledge is:   *
None
Moderate
Advance
How many years of overall professional experience do you have? *  
How many techs at your company? *  
Would you like to provide phone and remote control access support to Amavor Customers in addition to On Site Service? *   Yes No
Please check any certifications you may have here: (list only those completed and current)
A+ MCDBA MCSD MCP
CCNA CNA Network + MCSE
MCPS MCT CCNP CTT +
Convergence + Oracle Developer (ORADEV) CNE CCIE
CNS Oracle DBA Server + Security +
Master CNE CNI Certified Cold Fusion Developer Redhat Certified Engineer (RHCE)
Oracle Certified Professional (OCP) Networking Diploma MCSA HP Certified
Citrix Winframe/Metaframe ATM Repair Home Theatre Installation DCSE
Telephony Flat Panel TV/Monitor mounting Cisco IP Contact Center Express Spe HD TV Repair
Cisco IP Telephony Design Specialis Cisco Rich Media Communications Spe Cisco Unity Design Specialist Cisco Unity Support Specialist
Cisco Firewall Specialist Cisco VPN Specialist CCDA RFID +
CTT + LINUX + PROJECT + POS
Cat 5 wiring Phone line wiring VOIP Active Directory
Fiber optic cable Wifi setup/analysis
Other (specify):
Other (specify):
Other (specify):
Other (specify):
Other (specify):
Other (specify):
Other skills:
Printer Monitor PDA Blackberry
Other:
Warranty Certified:
Dell HP Toshiba IBM
Other :
  Availability  
*  Check on times that you are generally available for service calls:
  Weekdays Start Time:   Pick a Time!
    End Time:   Pick a Time!
  Weekends Start Time:   Pick a Time!
    End Time:   Pick a Time!
  Holidays Start Time:   Pick a Time!
    End Time:   Pick a Time!
Enter Above time in HH:MM AM/PM Format
How many miles are you willing to travel without a fee. (miles)
Please provide any additional comments below:
  Languages  

Select any language other than English that the technician speaks:
  Other Skills (optional)  

Detail any additional computer service related skills here.
  Other Qualifications (optional)  

Detail any additional computer service related qualifications here.
     
 
  Upload a File (optional)  
Choose a File to Upload
  Upload a Resume (optional)  
Choose a Resume to Upload
  Upload a Background Check Doc (optional)  
Choose a Background Check Doc to Upload
  Upload a Certification Proof Doc (optional)  
Choose a Certification Proof to Upload
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