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</head> <body bgcolor=black lang=EN-US link=blue vlink=purple style='tab-interval:.5in' onload="FP_preloadImgs(/*url*/'button6D.jpg',/*url*/'button6E.jpg',/*url*/'button12F.gif',/*url*/'button130.gif',/*url*/'button132.gif',/*url*/'button133.gif',/*url*/'button135.gif',/*url*/'button136.gif',/*url*/'button138.gif',/*url*/'button139.gif',/*url*/'button13B.gif',/*url*/'button13C.gif',/*url*/'button13E.gif',/*url*/'button13F.gif',/*url*/'button141.gif',/*url*/'button142.gif',/*url*/'button144.gif',/*url*/'button145.gif',/*url*/'button147.gif',/*url*/'button148.gif',/*url*/'button15.jpg',/*url*/'button14.jpg')"> <div class=WordSection1> <div align=center> <table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=931 style='width:698.25pt;mso-cellspacing:0in;border:solid white 2.25pt; mso-yfti-tbllook:1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;height:157.5pt'> <td style='border:none;padding:0in 0in 0in 0in;height:157.5pt'> <p 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class=MsoNormal align=center style='text-align:center'><span style='font-size:13.5pt;mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='border:none;padding:0in 0in 0in 0in;height:25.5pt'></td> </tr> <tr style='mso-yfti-irow:2;height:371.25pt'> <td width=160 rowspan=2 valign=top style='width:120.0pt;border-top:none; border-left:none;border-bottom:solid white 2.25pt;border-right:solid white 2.25pt; padding:0in 0in 0in 0in;height:371.25pt'> <p class=MsoNormal align=center style='text-align:center'><span style='mso-fareast-font-family:"Times New Roman";mso-no-proof:yes'> <img width=160 height=23 id="_x0000_i1055" src="button146.gif" alt=Login></span><span style='mso-fareast-font-family:"Times New Roman"'><br> <br> </span><a href="About%20Us.htm"><span style='mso-fareast-font-family:"Times New Roman"; mso-no-proof:yes;text-decoration:none;text-underline:none'> <img border=0 width=160 height=23 id="_x0000_i1054" src="button12E.gif" alt="About 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none;text-underline:none'> <img border=0 width=160 height=23 id="_x0000_i1047" src="button13.jpg" alt="Request a Quote"></span></a><span style='mso-fareast-font-family:"Times New Roman"'><br> <br> </span><a href="Employment.htm"><span style='mso-fareast-font-family:"Times New Roman"; mso-no-proof:yes;text-decoration:none;text-underline:none'> <img border=0 width=137 height=57 id="_x0000_i1046" src="Employment%20Opportunities.gif" alt=Employment></span></a><span style='mso-fareast-font-family:"Times New Roman"'><br> <br> </span><a href="Contact%20Us.htm"><span style='mso-fareast-font-family:"Times New Roman"; mso-no-proof:yes;text-decoration:none;text-underline:none'> <img border=0 width=160 height=23 id="_x0000_i1045" src="button143.gif" alt="Contact Us"></span></a><span style='mso-fareast-font-family:"Times New Roman"'><br> <br> </span><a href="../index.htm"><span style='mso-fareast-font-family:"Times New Roman"; mso-no-proof:yes;text-decoration:none;text-underline:none'> <img border=0 width=160 height=23 id="_x0000_i1044" src="button6C.jpg" alt=Home></span></a><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td valign=top style='border:solid white 1.0pt;mso-border-alt:solid white .25pt; padding:0in 0in 0in 0in;height:371.25pt'> <p class=style1><span class=style151><b><span style='font-size:18.0pt'>&nbsp;</span></b></span><span class=style141><b><span style='font-size:18.0pt'>APPLICATION QUESTIONNAIRE</span></b></span><o:p></o:p></p> <form name="Application Questionnaire" onSubmit="location.href='../_derived/nortbots.htm';return false;" action="../_derived/nortbots.htm" method="post" webbot-onSubmit="" webbot-action="--WEBBOT-SELF--"--> <!--webbot bot="SaveResults" U-File="../_private/form_results.csv" S-Format="TEXT/CSV" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" U-File="Application Questionnaire" S-Format="HTML/BR" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" S-Email-Format="HTML/UL" S-Email-Address="dthompson@shannahancrane.com" B-Email-Label-Fields="TRUE" B-Email-Subject-From-Field="TRUE" S-Email-Subject="Employment Application From the Shannahan Crane Website" S-Builtin-Fields="REMOTE_NAME REMOTE_USER Date" S-Form-Fields="Branch Position Experience Years Name Address City State Zip Phone Fax E-Mail Comments " U-Confirmation-Url="E-Mail Verification.htm" startspan S-Date-Format="%B %d, %Y" --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> <table class=MsoNormalTable border=1 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:1.5pt;mso-yfti-tbllook:1184'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Which branch are you applying at?</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td valign=top style='padding:.75pt .75pt .75pt .75pt'> <p style='margin:0in;margin-bottom:.0001pt'><SELECT MULTIPLE NAME="Branch" SIZE="3"> <OPTION>Tulsa <OPTION>Kansas City <OPTION>St. Louis </SELECT></p> <p><i><span style='font-size:10.0pt;color:yellow'>To Make Multiple Selections Use &quot;ctrl&quot; + Selection.</span></i></p> </td> </tr> <tr style='mso-yfti-irow:1'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Which position are you applying for?</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><SELECT NAME="Position"> <OPTION>Please Make a Selection <OPTION>Office/Service Assistant <OPTION>Overhead Crane Field Technician <OPTION>Outside Servcie Sales Person </SELECT><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:2'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Do you have experience for this position?</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><SELECT NAME="Experience"> <OPTION>Please Make a Selection <OPTION>YES <OPTION>NO </SELECT><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:3'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>If so, how many years?</span><span style='mso-fareast-font-family: "Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><INPUT TYPE="text" SIZE="56" NAME="Years"><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:4'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Full Name</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><INPUT TYPE="text" SIZE="56" NAME="Name"><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:5'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Address</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><INPUT TYPE="text" SIZE="56" NAME="Address"><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:6'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>City</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><INPUT TYPE="text" SIZE="56" NAME="City"><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:7'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>State</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><INPUT TYPE="text" SIZE="56" NAME="State"><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:8'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Zip</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><INPUT TYPE="text" SIZE="56" NAME="Zip"><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:9'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Phone</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><INPUT TYPE="text" SIZE="56" NAME="Phone"><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:10'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Fax</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><INPUT TYPE="text" SIZE="56" NAME="Fax"><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:11'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>E-Mail</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><INPUT TYPE="text" SIZE="56" NAME="E-Mail"><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:12'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Are you currently employed?</span><span style='mso-fareast-font-family: "Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><SELECT NAME="Employed"> <OPTION>Please Make a Selection <OPTION>YES <OPTION>NO </SELECT><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:13;mso-yfti-lastrow:yes'> <td width=319 style='width:239.25pt;padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"; color:white'>Comments</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td style='padding:.75pt .75pt .75pt .75pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><TEXTAREA COLS="33" NAME="Comments"></TEXTAREA><o:p></o:p></span></p> </td> </tr> </table> <p class=style1 align=left style='text-align:left;tab-stops:center 236.05pt left 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class=style101><b><span style='font-size:10.0pt; font-family:"Verdana","sans-serif"'>For Repetitive, Lightweight Lifting Operations, Please Contact our Ergonomics and Technology Website at: </span></b></span><b><span style='font-size:10.0pt;font-family:"Verdana","sans-serif"'><a href="http://shannahanergotech.com">shannahanergotech.com</a></span></b></p> <p class=style13>©&nbsp; 2010 Shannahan Crane &amp; Hoist, Inc.&nbsp; -&nbsp; All Rights Reserved</p> <p class=style1> <!--webbot bot="HitCounter" u-custom="" i-image="4" i-resetvalue="0" PREVIEW="&lt;strong&gt;[Hit Counter]&lt;/strong&gt;" i-digits="0" startspan --><img src="../_vti_bin/fpcount.exe/C:/Users/Don/Documents/Windstream/Website/?Page=Main%20Pages/Employment%20Application%20Questionnaire.htm|Image=4" alt="Hit Counter"><!--webbot bot="HitCounter" i-checksum="33879" endspan --></p> </div> </body> </html> <script language="JavaScript"> <!-- var SymRealOnLoad; var SymRealOnUnload; function SymOnUnload() { window.open = 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