Contractor Application

Personal Information

Your Name (required)
Company Name (required)
Your Email (required)
Your Website
Phone
Cell Phone

Industry Experience

Food/Beverage Level: Years:
Chemical/Petrochem

Level:

Years:
Refining/Process

Level:

Years:
Metal

Level:

Years:
Mining

Level:

Years:
Power

Level:

Years:
Discrete Level: Years:

Skills

Reliability Consulting Level: Years:
Criticality Assessment Level: Years:
Work Process Mapping Level: Years:
PM Optimization Level: Years:
RCM Level: Years:
FMEA Level: Years:
RCFA Level: Years:
Planning/Scheduling Level: Years:
Inventory Management/MRO Level: Years:
CMMS - SAP Level: Years:
CMMS - Maximo Level: Years:
CMMS - Other Level: Years:
Integrity Management Level: Years:

Certifications

 PE
 CMRP
 RCM
 APICS
 PS Assessment
 PS Advanced Assessment
 PS PdM Assessment
 PdM Vibration Cert
 PdM IR Cert
 PdM Ultrasound Cert
 PdM Lube Oil Cert

Total Years of Experience

Speaking Engagements

Professional Organizations You Belong To

Availability (hours/week):

Hourly Rate (USD)

Have you traveled internationally? If so, where?

Are You Willing to Travel? Any limitations?

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Additional Message


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