Social Security Number _ / / DO NOT WRITE YOUR NAME ANYWHERE ON THIS FORM Complete or Print All Required Information in Black or Blue Ink

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1 Bus Company P.0. Box Brooklyn, NY FOR OFFICE RATING (Q OR NQ CODE) PROMOTION TO BUS MAINTAINER EDUCATION AND EXPERIENCE TEST PAPER (EETP) EXAM NO (use this EETP for this exam only) DO NOT WRITE YOUR NAME ANYWHERE ON THIS FORM Complete or Print All Required Information in Black or Blue Ink READ THIS SECTION CAREFULLY BEFORE COMPLETING THIS FORM If you need more space, make additional copies of the sheets included with this form. Be sure your social security number and the exam number are included on each attached sheet. The information you provide will be used to determine whether you meet the qualification requirements. If information is missing, illegible, unclear, or lacks necessary detail, you may be found "Not Qualified." You may be subject to a background check. The information you enter on this form must be verifiable. You may be hired before a background check is performed. If at a later date the information you submit on this form is found to be false or misleading, you may be terminated. You must complete all applicable sections of this form. DO NOT ATTACH A RESUME. RESUMES WILL NOT BE RATED RATERS INITIALS APPEAL STATUS APPEAL REVIEWERS INTITIALS SHADED COLUMNS ARE FOR QUALIFICATION CHECKLIST Must be Completed Starting from Top to Bottom I am currently employed in the title of Maintainer s Helper and work for Bus Co. FOR If yes, STOP! You do not need to complete this form. You automatically qualify for the examination and do not need to submit an EETP. You only need to submit an application. If no, continue. I am currently employed in the title of Cleaner/Maintainer s Helper and work for Bus Co. If no, STOP! This exam is only open to Maintainer s Helpers and Cleaner/Maintainer s Helpers employed by Bus Co. If you are neither a Maintainer s Helper nor a Cleaner/Maintainer s Helper employed by Bus Co., you are not eligible for this examination. If yes, you must answer yes to one of the questions in A through D below to be eligible for this examination: A) I have two years of full-time satisfactory experience as a mechanic s helper, apprentice or trainee performing or assisting in the performance of automotive or aircraft maintenance; or B) I graduated from a recognized trade school or technical school, approved by a state s Department of Education or comparable agency, with a major course of study in automotive mechanics or a closely related field, totaling 600 hours; or C) I graduated from a vocational high school, approved by a state s Department of Education or comparable agency, with a major course of study in automotive mechanics, or a closely related field; or D) I graduated from an accredited college or university with an AAS degree or higher in automotive mechanics or a closely related field. If you answered no to all four questions in A through D above, you are not eligible for this examination and should not file an application. If you answered yes to any of these questions, complete the rest of this form.

2 SECTION A - EDUCATION Section A.1 HIGH SCHOOL EQUIVALENCY CHECK THE HIGHEST GRADE OR YEAR OF HIGH SCHOOL COMPLETED: Did you graduate HS? Yes - / No - Dates of HS attendance: From / To / Month Year Month Year Month Year FOR Name of high school: Location of school: USA, located in the State of, City/Town: Foreign, located in the country of Was this a vocational/technical high school? Yes No If yes, did you complete a major course of study in automotive or aircraft mechanics? Yes If yes, exact name of program: No If no, specialty: Section A.2 POST-SECONDARY TRADE/TECHNICAL SCHOOL Did you attend a trade/technical school? If yes, complete the section below: Name of school: FOR Did you graduate? Yes - / No - Dates of attendance: From / To / Month Year Month Year Month Year Location of school: USA, located in the State of, City/Town: Foreign, located in the country of Specialty: Number of hours in specialty: Section A.3 UNDERGRADUATE EDUCATION Did you attend college? If yes, complete the section below: Name of undergraduate college/university: USA Foreign Major: FOR Number of credits you have completed in major: Total number of credits you have completed: Did you graduate Dates of attendance: From / To / and receive a degree Month Year Month Year Location of college: USA, located in the State of, City/Town: Foreign, located in the country of Date degree received: / Type of degree: (check only one) Associate Baccalaureate Month Year Exact title of degree: 2

3 SECTION B EMPLOYMENT / WORK EXPERIENCE (PAID OR VOLUNTEER) READ THIS SECTION CAREFULLY BEFORE COMPLETING THIS FORM. You must explain your experience in detail. Failure to do so may result in your disqualification. Do NOT leave any fields blank. Include relevant full-time, part-time, and volunteer automotive or aircraft experience. Describe relevant armed forces experience. If you are or have been in business for yourself, enter "self employed" on the line labeled "Name of Employer." You should not reveal your name anywhere on this test paper. A maximum of one year of full-time experience will be credited for each 12-month period. Part-time experience will be pro-rated. You must complete a new Employment/Work Experience (Section B) form for each employer you worked for and for each title you ve held while employed with each employer if your duties changed significantly. BOX 1 - EMPLOYMENT Dates of employment: From: / To: / Present Total time: / Month Year Month Year Year(s) Month(s) No. of hrs. worked per week: Starting salary: $ per Last salary: $ per Name of Address of Telephone # Was/is this an automotive repair business? If yes, select all that apply: Dealership Full service repair shop Self-proprietorship/own business Lube/maintenance shop Military Specialty repair shop, Specialty: If no, nature of business: Were you responsible for fleet maintenance? Current title/last Title: Starting title: If you have held more than one title while employed with this employer, select all that apply: Helper/Apprentice/Trainee Date started: Month /Year Journey-level Mechanic/Technician Date started: Month /Year Automotive/Aircraft experience listed in Box 1 SHADED COLUMNS ARE FOR Did you perform general maintenance (e.g., fluid change, filter change, inspections)? Maintenance tasks performed Select all that apply: oil and filter air filter Transmission oil and filter Steering fluid brake fluid lubricate chassis inspect hoses, belts, connections tire pressure tune up Describe other general maintenance work performed while Have you worked on engines? List all engine work you have assisted with or performed on your own while 3

4 Automotive/Aircraft experience listed in Box 1 (Continued) Have you worked on electrical systems? List all of the electrical work you have assisted with or have performed on your own while working for this Have you worked on brake systems? List all of the brake work you have assisted with or have performed on your own while working for this Have you worked on air conditioning and heating systems? List all of the air conditioning/heating work you have assisted with or have performed on your own while Have you worked on transmissions/drivetrains? List all of the transmission/drivetrain work you have assisted with or have performed on your own while Have you worked on cooling/heating or lubrication systems? List all of the cooling/heating or lubrication work you have assisted with or have performed on your own while Have you worked on other automotive systems not listed above? List all other automotive work or non-automotive work you have assisted with or have performed on your own while working for this employer TIME SPENT ON WORK TASKS FOR EMPLOYMENT IN BOX 1 (MUST BE COMPLETED) List percentage of time spent working on each system listed above in the average workweek. This section must be completed to receive credit for your experience. The total must equal 100% Maintenance % + Engines % + Electrical % + Brakes % + AC + Transmissions % + Cool/lube % + Other = 100% 4

5 SECTION B EMPLOYMENT / WORK EXPERIENCE (PAID OR VOLUNTEER) READ THIS SECTION CAREFULLY BEFORE COMPLETING THIS FORM. You must explain your experience in detail. Failure to do so may result in your disqualification. Do NOT leave any fields blank. Include relevant full-time, part-time, and volunteer automotive or aircraft experience. Describe relevant armed forces experience. If you are or have been in business for yourself, enter "self employed" on the line labeled "Name of Employer." You should not reveal your name anywhere on this test paper. A maximum of one year of full-time experience will be credited for each 12-month period. Part-time experience will be pro-rated. You must complete a new Employment/Work Experience (Section B) form for each employer you worked for and for each title you ve held while employed with each employer if your duties changed significantly. BOX 2 - EMPLOYMENT Dates of employment: From: / To: / Present Total time: / Month Year Month Year Year(s) Month(s) No. of hrs. worked per week: Starting salary: $ per Last salary: $ per Name of Address of Telephone # Was/is this an automotive repair business? If yes, select all that apply: Dealership Full service repair shop Self-proprietorship/own business Lube/maintenance shop Military Specialty repair shop, Specialty: If no, nature of business: Were you responsible for fleet maintenance? Current title/last Title: Starting title: If you have held more than one title while employed with this employer, select all that apply: Helper/Apprentice/Trainee Date started: Month /Year Journey-level Mechanic/Technician Date started: Month /Year Automotive/Aircraft experience listed in Box 2 SHADED COLUMNS ARE FOR Did you perform general maintenance (e.g., fluid change, filter change, inspections)? Maintenance tasks performed Select all that apply: oil and filter air filter Transmission oil and filter Steering fluid brake fluid lubricate chassis inspect hoses, belts, connections tire pressure tune up Describe other general maintenance work performed while Have you worked on engines? List all engine work you have assisted with or performed on your own while 5

6 Automotive/Aircraft experience listed in Box 2 (Continued) Have you worked on electrical systems? List all of the electrical work you have assisted with or have performed on your own while working for this Have you worked on brake systems? List all of the brake work you have assisted with or have performed on your own while working for this Have you worked on air conditioning and heating systems? List all of the air conditioning/heating work you have assisted with or have performed on your own while Have you worked on transmissions/drivetrains? List all of the transmission/drivetrain work you have assisted with or have performed on your own while Have you worked on cooling/heating or lubrication systems? List all of the cooling/heating or lubrication work you have assisted with or have performed on your own while Have you worked on other automotive systems not listed above? List all other automotive work or non-automotive work you have assisted with or have performed on your own while working for this employer TIME SPENT ON WORK TASKS FOR EMPLOYMENT IN BOX 2 (MUST BE COMPLETED) List percentage of time spent working on each system listed above in the average workweek. This section must be completed to receive credit for your experience. The total must equal 100% Maintenance % + Engines % + Electrical % + Brakes % + AC + Transmissions % + Cool/lube % + Other = 100% 6

7 SECTION B EMPLOYMENT / WORK EXPERIENCE (PAID OR VOLUNTEER) READ THIS SECTION CAREFULLY BEFORE COMPLETING THIS FORM. You must explain your experience in detail. Failure to do so may result in your disqualification. Do NOT leave any fields blank. Include relevant full-time, part-time, and volunteer automotive or aircraft experience. Describe relevant armed forces experience. If you are or have been in business for yourself, enter "self employed" on the line labeled "Name of Employer." You should not reveal your name anywhere on this test paper. A maximum of one year of full-time experience will be credited for each 12-month period. Part-time experience will be pro-rated. You must complete a new Employment/Work Experience (Section B) form for each employer you worked for and for each title you ve held while employed with each employer if your duties changed significantly. BOX 3 - EMPLOYMENT Dates of employment: From: / To: / Present Total time: / Month Year Month Year Year(s) Month(s) No. of hrs. worked per week: Starting salary: $ per Last salary: $ per Name of Address of Telephone # Was/is this an automotive repair business? If yes, select all that apply: Dealership Full service repair shop Self-proprietorship/own business Lube/maintenance shop Military Specialty repair shop, Specialty: If no, nature of business: Were you responsible for fleet maintenance? Current title/last Title: Starting title: If you have held more than one title while employed with this employer, select all that apply: Helper/Apprentice/Trainee Date started: Month /Year Journey-level Mechanic/Technician Date started: Month /Year Automotive/Aircraft experience listed in Box 3 SHADED COLUMNS ARE FOR Did you perform general maintenance (e.g., fluid change, filter change, inspections)? Maintenance tasks performed Select all that apply: oil and filter air filter Transmission oil and filter Steering fluid brake fluid lubricate chassis inspect hoses, belts, connections tire pressure tune up Describe other general maintenance work performed while Have you worked on engines? List all engine work you have assisted with or performed on your own while 7

8 Automotive/Aircraft experience listed in Box 3 (Continued) Have you worked on electrical systems? List all of the electrical work you have assisted with or have performed on your own while working for this Have you worked on brake systems? List all of the brake work you have assisted with or have performed on your own while working for this Have you worked on air conditioning and heating systems? List all of the air conditioning/heating work you have assisted with or have performed on your own while Have you worked on transmissions/drivetrains? List all of the transmission/drivetrain work you have assisted with or have performed on your own while Have you worked on cooling/heating or lubrication systems? List all of the cooling/heating or lubrication work you have assisted with or have performed on your own while Have you worked on other automotive systems not listed above? List all other automotive work or non-automotive work you have assisted with or have performed on your own while working for this employer TIME SPENT ON WORK TASKS FOR EMPLOYMENT IN BOX 3 (MUST BE COMPLETED) List percentage of time spent working on each system listed above in the average workweek. This section must be completed to receive credit for your experience. The total must equal 100% Maintenance % + Engines % + Electrical % + Brakes % + AC + Transmissions % + Cool/lube % + Other = 100% 8