Field-Techs.com

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Below is a form that will capture all of your contact information, you (or your company's) skill set, and a list of tools that you (or your company) currently have. This process, which is entirely free, requires 5-10 minutes to complete and is the first (and most important) step in becoming an Endeavor vendor.

Please note: Endeavor tests/certifies potential vendors before contracting them. Please complete this form accurately and honestly.

First name:

Last name:

Address line 1

Address line 2

City

Country

State

Zip

Primary Telephone Number

Cell Phone Number

Office Telephone Number

Home Telephone Number

Fax Number

Pager Number

Email address

Website

How did you hear about us?

Are you an individual or a company

Please specify the type of opportunity that interests you

How many years of experience do you/your company have in field services?

Please upload your resume/company overview (not required)

(Maximum allowed size is 1 MB)

Please describe your desired service area (assuming no paid travel):
Within	miles from

Please rate your experience in the following:

0 = No current experience and no real interest.
1 = No current experience, but willing to learn.
2 = Some familiarity, but willing to learn more.
3 = Very familiar and have used this at work or in my free time.
4 = Very confident. I have used this frequently in a professional/educational capacity.
5 = Expert. I could write a text book on this.

Electrical - Low Voltage (Telecommunications)

Electrical - High Voltage

Cabling/Wiring for Voice and Data

Voice (POTS) Inside Wiring (IW)

Data Inside Wiring (IW)

Commercial (Business) Inside Wiring (IW)

Residential Inside Wiring (IW)

Satellite Dish Installation

Co-Ax Cable Installation

Wi-Fi (Wireless) Installation

VoIP Installation

Central Office (CO) Installations

LAN Cabling

Fiber Cabling

POTS

ADSL

SDSL

IDSL

ISDN

T1/ DS1

T3/ DS3

PBX

T-BERD

Kick Meter

Networking

Routers

Desktop PC

Servers

Windows

Unix/Linux

Printer Installation

Printer Repair

Tools & Materials (please check all that you/your company presently have):

Cell Phone
Notebook Computer with Windows 95/98/NT/ME/200/XP
LAN (Ethernet) Port
Serial Port
USB Port
802.11a Wi-Fi Card
802.11b Wi-Fi Card
802.11g Wi-Fi Card
Digital Camera
Toner aka Tone Generator and Wand aka Inductive Amplifier
Butt Set aka Line Mans Test Set aka Analog Test Set
Punch Down Tool
Blades for 66 Block
Blades for 110 Block
Crimp Tool
RJ-11 Capable
RJ-45 Capable
BNC (Co-Ax) Capable
Electric Drill
Label Maker
Fish Tape
6 Feet Ladder
12 Feet Ladder
20+ Feet Ladder
Screwdriver Set
Pliers
Wrench Set
Cable Splice Kit (butt-splice connectors)
T-BERD
Kick Meter
Cable Stapler with Cable Staples (not flat staples)
100 Feet Extension Cord
Cat-5 Cable (Unshielded Solid Twisted Pair PVC)
Cat-5 Cable (Unshielded Solid Twisted Pair Plenum)
Cat-5 Cable (Shielded Solid Twisted Pair PVC)
Cat-5 Cable (Shielded Solid Twisted Pair Plenum)
Co-Ax Cable
RJ-11 Surface Mount Jacks
RJ-45 Surface Mount Jacks
Co-Ax Cable Jacks
RJ-11 Crimp Terminations (Modular Plugs)
RJ-45 Crimp Terminations (Modular Plugs)
BNC (Co-Ax) Compression Terminations
Wire Ties
F-type (Co-Ax) Compression Terminations

Please describe the type of vehicle you would use for field work:

Car (Sedan/ Station Wagon/Hatch-Back)
Mini-Van/ Conversion Van
SUV
Truck (Pick-up/ Full-Size)
Van (Cargo/ Work)

Certifications and Official Credentials (Check all that apply):

BICSI
RCDD
RCDD/ LAN
RCDD/ OSP
CompTIA A+
CompTIA Network+
CompTIA Server+
CompTIA i-Net+
CompTIA Linux+
CompTIA Security+
MCDST
MCSA
MCP
MCSE
Cisco-AVVID
Cisco-CCDA
Cisco-CCDP
Cisco-CCNA
Cisco-CCNP
Cisco-CCIE Design
Cisco-CCIE Routing and Switching
Cisco-WLANFE
Cisco-WLANSE
Government Security Clearance

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