NEW Application for PHP LAMP Developer/Architect Survey

1. Please complete your contact information in the fields below.

Please complete your contact information in the fields below. First Name:
Last Name:
Address:
Address2:
City:
State:
Postal Code:
Home Phone:
Cell Phone:
Email Address:

2. Please check your current employment status:

Please check your current employment status: I am currently employed full-time.

I am currently employed part-time.

I am currently doing contract work, but it will end soon.

I am unemployed at this time.

3. Please check your highest level of education completed.

Please check your highest level of education completed. High School Graduate

Some College

Associate Degree

Associate Degree in Information Technology/Programming

Bachelor Degree

Bachelor Degree in Information Technology/Programming

Master Degree

Other (please specify)

4. If you are currently employed, please provide the following. If unemployed, please list your last employer.

If you are currently employed, please provide the following. If unemployed, please list your last employer. Company Name:
City:
State:
Your Job Title:
How long have you worked with this company:
Supervisor's Name(we will not contact them without your approval):
Supervisor's Telephone:
Supervisor's Email:

5. Please briefly describe your duties for this position.

Please briefly describe your duties for this position.

6. Please indicate your knowledge and technical skills that you will bring to this position in Web site development. Check all that apply.

	No experience	Novice	Intermediate	Expert
Linux	Please indicate your knowledge and technical skills that you will bring to this position in Web site development. Check all that apply. Linux No experience	Linux Novice	Linux Intermediate	Linux Expert
Classic PHP	Classic PHP No experience	Classic PHP Novice	Classic PHP Intermediate	Classic PHP Expert
Object-Oriented PHP	Object-Oriented PHP No experience	Object-Oriented PHP Novice	Object-Oriented PHP Intermediate	Object-Oriented PHP Expert
Apache	Apache No experience	Apache Novice	Apache Intermediate	Apache Expert
MySQL	MySQL No experience	MySQL Novice	MySQL Intermediate	MySQL Expert
Web Services	Web Services No experience	Web Services Novice	Web Services Intermediate	Web Services Expert

Other (please specify)

7. Please indicate your knowledge and technical skills in the following. Check all that apply.

	No experience	Novice	Intermediate	Expert
OOP	Please indicate your knowledge and technical skills in the following. Check all that apply. OOP No experience	OOP Novice	OOP Intermediate	OOP Expert
XML	XML No experience	XML Novice	XML Intermediate	XML Expert
HTML/XHTML	HTML/XHTML No experience	HTML/XHTML Novice	HTML/XHTML Intermediate	HTML/XHTML Expert
HTML5	HTML5 No experience	HTML5 Novice	HTML5 Intermediate	HTML5 Expert
CSS	CSS No experience	CSS Novice	CSS Intermediate	CSS Expert
CSS3	CSS3 No experience	CSS3 Novice	CSS3 Intermediate	CSS3 Expert
Java Script/Jquery/Ajax	Java Script/Jquery/Ajax No experience	Java Script/Jquery/Ajax Novice	Java Script/Jquery/Ajax Intermediate	Java Script/Jquery/Ajax Expert
Web 2.0 and cross-browser/platform web development techniques	Web 2.0 and cross-browser/platform web development techniques No experience	Web 2.0 and cross-browser/platform web development techniques Novice	Web 2.0 and cross-browser/platform web development techniques Intermediate	Web 2.0 and cross-browser/platform web development techniques Expert

Other (please specify)

8. The following are skills we consider a plus for this position. Check all that apply.

	No experience	Novice	Intermediate	Expert
PHP Framework (Zend, Code Igniter, etc.)	The following are skills we consider a plus for this position. Check all that apply. PHP Framework (Zend, Code Igniter, etc.) No experience	PHP Framework (Zend, Code Igniter, etc.) Novice	PHP Framework (Zend, Code Igniter, etc.) Intermediate	PHP Framework (Zend, Code Igniter, etc.) Expert
E-Commerce (Magento and Authorize.net)	E-Commerce (Magento and Authorize.net) No experience	E-Commerce (Magento and Authorize.net) Novice	E-Commerce (Magento and Authorize.net) Intermediate	E-Commerce (Magento and Authorize.net) Expert
CMS (SilverStripe, Drupal, Joomla, etc.) techniques	CMS (SilverStripe, Drupal, Joomla, etc.) techniques No experience	CMS (SilverStripe, Drupal, Joomla, etc.) techniques Novice	CMS (SilverStripe, Drupal, Joomla, etc.) techniques Intermediate	CMS (SilverStripe, Drupal, Joomla, etc.) techniques Expert
Multimedia Streaming	Multimedia Streaming No experience	Multimedia Streaming Novice	Multimedia Streaming Intermediate	Multimedia Streaming Expert

Other (please specify)

9. Please rate yourself on the following work skills:

	Excellent	Good	Neutral	Fair	Poor
Analytical skills	Please rate yourself on the following work skills: Analytical skills Excellent	Analytical skills Good	Analytical skills Neutral	Analytical skills Fair	Analytical skills Poor
Conceptual skills	Conceptual skills Excellent	Conceptual skills Good	Conceptual skills Neutral	Conceptual skills Fair	Conceptual skills Poor
Organizational skills	Organizational skills Excellent	Organizational skills Good	Organizational skills Neutral	Organizational skills Fair	Organizational skills Poor
Attention to detail	Attention to detail Excellent	Attention to detail Good	Attention to detail Neutral	Attention to detail Fair	Attention to detail Poor
Ability to troubleshoot and resolve problems	Ability to troubleshoot and resolve problems Excellent	Ability to troubleshoot and resolve problems Good	Ability to troubleshoot and resolve problems Neutral	Ability to troubleshoot and resolve problems Fair	Ability to troubleshoot and resolve problems Poor
Verbal English communication skills	Verbal English communication skills Excellent	Verbal English communication skills Good	Verbal English communication skills Neutral	Verbal English communication skills Fair	Verbal English communication skills Poor
Written English communication skills	Written English communication skills Excellent	Written English communication skills Good	Written English communication skills Neutral	Written English communication skills Fair	Written English communication skills Poor

Other (please specify)

10. What is your hourly wage requirement, if hired? (Dollar amount required to be considered.)

What is your hourly wage requirement, if hired? (Dollar amount required to be considered.)

11. If hired, how soon could you start?

If hired, how soon could you start? I can start immediately

I have to give a two-week notice and then I can start

Or, when could you start? (please specify)

12. As you potentially enter into a new career or job with our organization, what is most important to you?

As you potentially enter into a new career or job with our organization, what is most important to you?

13. What can you tell us about yourself that we will not read in your resume?

What can you tell us about yourself that we will not read in your resume?

14. Is there anything else that you would like for us to know about you or your work skills?

Is there anything else that you would like for us to know about you or your work skills?