Sawing & Drilling 201: Operator Certification Course Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Company Name *Operator: Name *FirstLastOperator: Email Address *Check each class Operator will be attending: *Sawing & Drilling 201, Nov 6-7Wall & Hand Sawing 201, Nov 8-9Wire Sawing 201, Nov 10List dates of completion for introductory/101 level course completed in the following areas:Slab Sawing/Core Drilling 101Wall Sawing 101Wire Sawing 101Diamond Cutting: Sharpen Your SkillsCutting Edge (online)Company Equivalent TrainingWhat skills does the attendee have? (state years of experience and equipment used)Core Drilling *state years of experience and equipment usedWall Sawing *state years of experience and equipment usedHand Sawing *state years of experience and equipment usedSlab Sawing *state years of experience and equipment usedWire Sawing *state years of experience and equipment used What is his/her strongest area of expertise?Core Drilling *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 51-fair, 3-average, 5-excellentWall Sawing *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 51-fair, 3-average, 5-excellentHand Sawing *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 51-fair, 3-average, 5-excellentSlab Sawing *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 51-fair, 3-average, 5-excellentWire Sawing *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 51-fair, 3-average, 5-excellentThe following minimum requirements must be met and verified by an owner/ supervisor. *Three years field experience (1 year = 1,500 hours)An unrestricted driver’s licenseCompletion of the OSHA 10Hr Construction Safety CourseCheck all that apply (a minimum of 1 is required for course registration): *Completion & Passing of the Cutting Edge Course (online) Introductory/101 Course Completion Company equivalent training** ** Training must be verified with training committee chair; contact Pat Harris at PTHarris@sbcglobal.netAttach Headshot Here (for ID Card upon certification) Click or drag files to this area to upload. You can upload up to 5 files. Allowed file formats: .png, .gif, .jpg, .doc, .xls, .ppt, .docx, .xlsx, .pptx, .pdfVerified By Operator:Signature *Date *Verified By Owner/ Supervisor:Signature *Date *Submit