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					                   UNIVERSITY OF WISCONSIN-MADISON
 ANIMAL RESEARCH TECH. and ANIMAL RESEARCH TECH. OBJECTIVE/INTERMEDIATE
                   JOB ANNOUNCEMENT CODE: 08-00267

Thank you for your interest in Animal Research Technician positions at University of Wisconsin-Madison. The employment
register established as a result of this recruitment will be used to staff future vacancies that may occur during the next six months
or longer.

        The next steps in the application process are as follows:

        1. Read and complete the Objective Inventory Questionnaire (OIQ). The OIQ is the civil service exam for this
           position and is designed to obtain information about your qualifications and experience as they relate to the skills,
           training, and experience that are essential for successful job performance. In order to be considered for this position,
           you must complete the questionnaire and return it along with the other application materials noted below. Include
           two professional references who can verify the training and experience you claim. Also, if you answer “Yes” to
           any of questions 163-169, you must provide appropriate documentation.

        2. Complete and return the attached Application for State Employment form. If you are eligible for Veterans
           Preference Points or Disabled Expanded certification, please complete the appropriate form and return it with your
           other materials. These forms can be downloaded at http://oser.state.wi.us/docview.asp?docid=1240 (Veterans
           Preference Form) and http://oser.state.wi.us/docview.asp?docid=1200 (Disabled Expanded Form).

        3. Read carefully, sign and return the sheet marked Affidavit Certification Statement.

        4. Please submit your current resume. Do NOT substitute your resume in lieu of responses to the items in this
           questionnaire. Your eligibility to participate in the next step of the selection process will be based on your response to
           the OIQ questions.

        5. Submit the completed application materials to the following address:

            UW-Madison Classified Human Resources
            21 N. Park St., Suite 5101
            Madison, WI 53715-1218
            FAX: (608) 265-3335
            PHONE: (608) 265-2257

        A criminal background check will be conducted on all new employees and current employees moving to positions of trust.
        If you are a finalist you will be asked to complete a consent form.

        The first step in the selection process will be a review of the completed questionnaires. The most highly qualified
        candidates from among those who complete the questionnaire will be invited to participate in the next step in the selection
        process. You may be asked to demonstrate or document the skill or experience level claimed on this questionnaire as part
        of the selection process.
                                                                    1
                                        STATE OF WISCONSIN
                                 APPLICATION FOR STATE EMPLOYMENT




                                                    General Instructions
   These instructions are for use in completing the Application for State Employment, form OSER-DMRS-38.

   Applications will be accepted only for vacancies announced online at www.Wisc.Jobs, WiscERS.state.wi.us (for at-risk or laid-
    off state employees only), or in the Wisc.Jobs Bulletin.

   Read the announcement carefully and submit application materials to the address listed in the announcement.

   Print clearly! If we cannot read your information we cannot process your application.

   You must provide the following: job announcement title, job announcement code, first name, last name, last four digits
    of social security number, month of birth, day of birth, mother’s maiden name (last name only), mailing address, city,
    state, zip code, country, legal authorization to work in the U.S., Wisconsin residency, work hours, county(ies) where
    you will accept employment, and signature on certification statement.

   You must ensure that the completed, signed application is received on or before the announced deadline date, at the
    specified location. The Office of State Employment Relations (OSER) and other state agencies are not responsible for
    late, lost, misdirected or damaged mail.

   You may take clean photocopies of the application, printed front and back on one sheet of paper, and submit that as the
    official application.

   As a veteran with an honorable discharge or a spouse of a veteran, you may be eligible to receive additional points on your
    civil service scores. Current state employees are not eligible for veterans points. Please view the Veterans Preference
    Supplement form OSER-MRS-38L, found online at http://OSER.state.wi.us under “Jobs” at Application Forms.

   Qualified persons with a disability may be eligible for consideration in the interview process. Please complete the Disabled
    Expanded Certification form OSER-MRS-159, found online at http://OSER.state.wi.us under “Jobs,” at Application Forms.

   Questions should be directed to the contact in the job announcement, or the Office of State Employment Relations,
    Employment Services Center can be contacted by telephone (608) 266-1731, or e-mail ESC@wisconsin.gov.

   SCORE REUSE: Some exams allow applicants to reuse their score instead of retaking the exam, and the grade notice will
    indicate if an applicant can use this option. Applicants interested in score reuse should do so by the Score Reuse date
    indicated on their Notice of Examination Results or Reuse Score By date in their online Wisc.Jobs job cart. This can be
    completed online by creating an account on www.Wisc.Jobs or checking the score reuse box in section 1 of this application
    (under the job announcement title) and submitting to the contact on your grade notice or the Office of State Employment
    Relations, P.O. Box 7855, Madison, WI 53707-7855. Applicants also may call the Office of State Employment Relations,
    Employment Services Center at (608) 266-1731, or e-mail ESC@wisconsin.gov. Refer to www.Wisc.Jobs or the contact
    listed in the job announcement for more information.




                                                                 2
                                                    State of Wisconsin
                              Application for State Employment - Instructions - page 3 of 4

1. JOB ANNOUNCEMENT TITLE
   A job title is required to process your application. Complete an application for each job you apply for unless the job titles were
   announced in the same announcement. Enter the job title as it appears in the announcement.
    JOB ANNOUNCEMENT CODE
    An accurate Job Announcement Code is required to process your application. The Job Announcement Code is listed in the
    heading of the job announcement. If the job announcement lists two Job Announcement Codes, enter the second code on
    the line provided.


2. NAME
   A last name, first name, and middle initial (if applicable) are required to process your application.
    LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER
    The last four digits of your Social Security Number are required to process your application.
    DATE OF BIRTH
    Use numbers to identify the month and day you were born (MM and DD) example: January 2 would be 01 and 02. The month
    and day of your birth are required to process your application. Year of birth is optional and is used as an additional identifier
    only.
    MAILING ADDRESS
    Your Address, City, State, Zip Code and Country are required to process your application. If you have an existing Wisc.Jobs
    job cart you may update your information online anytime at www.Wisc.Jobs. If you do not have an existing job cart, you may
    create one at www.Wisc.Jobs or notify the Office of State Employment Relations by mail: P.O. Box 7855, Madison, WI 53707-
    7855; phone (608) 266-1731; or e-mail ESC@wisconsin.gov.
    MOTHER'S MAIDEN NAME
    This information is required to process your application. Enter your mother’s maiden name (last name only) or another name
    or word that will serve as an additional identifier to make your applicant record unique.
    PHONE NUMBER(S)
    Please provide a phone number(s) where you can be reached if there are questions regarding your application or to schedule
    an interview.


3. LEGALLY AUTHORIZED TO WORK IN THE U.S.
   Completion of this section is required to process your application. Check YES only if you are one of the following: (1) a citizen
   or national of the United States; (2) a lawful permanent resident; or (3) an alien authorized to work in the United States.


4. WISCONSIN RESIDENCY
   Completion of this section is required to process your application. Indicate whether you are a permanent resident of the State
   of Wisconsin. Wisconsin residency is required only for Limited Term and Project positions.


5. WORK HOURS
   You must include the type of work you will accept in order for us to process your application. Check all types of work hours
   that you will accept.




                                        INSTRUCTIONS CONTINUE ON THE NEXT PAGE




                                                                  3
                                                      State of Wisconsin
                                Application for State Employment - Instructions - page 3 of 4

6. COUNTIES WHERE YOU WILL ACCEPT EMPLOYMENT (PLEASE NOTE THAT COUNTY CODES HAVE CHANGED.)
   At least one code is required to process your application. Select the desired code(s) below for the county(ies) where you will
   accept work and transfer that two-digit number to section 6 in the application. We will only consider you for jobs in the
   locations you indicate on your application.
Code County             Code County             Code County             Code County              Code County
 00 -   All Counties     15 -   Door             30 -   Kenosha          44 -   Outagamie         59 - Sheboygan
 01 -   Adams            16 -   Douglas          31 -   Kewaunee         45 -   Ozaukee           60 - Taylor
 02 -   Ashland          17 -   Dunn             32 -   La Crosse        46 -   Pepin             61 - Trempealeau
 03 -   Barron           18 -   Eau Claire       33 -   Lafayette        47 -   Pierce            62 - Vernon
 04 -   Bayfield         19 -   Florence         34 -   Langlade         48 -   Polk              63 - Vilas
 05 -   Brown            20 -   Fond du Lac      35 -   Lincoln          49 -   Portage           64 - Walworth
 06 -   Buffalo          21 -   Forest           36 -   Manitowoc        50 -   Price             65 - Washburn
 07 -   Burnett          22 -   Grant            37 -   Marathon         51 -   Racine            66 - Washington
 08 -   Calumet          23 -   Green            38 -   Marinette        52 -   Richland          67 - Waukesha
 09 -   Chippewa         24 -   Green Lake       39 -   Marquette        53 -   Rock              68 - Waupaca
 10 -   Clark            25 -   Iowa             72 -   Menominee        54 -   Rusk              69 - Waushara
 11 -   Columbia         26 -   Iron             40 -   Milwaukee        55 -   St. Croix         70 - Winnebago
 12 -   Crawford         27 -   Jackson          41 -   Monroe           56 -   Sauk              71 - Wood
 13 -   Dane             28 -   Jefferson        42 -   Oconto           57 -   Sawyer            99 - Outside
 14 -   Dodge            29 -   Juneau           43 -   Oneida           58 -   Shawano          Wisconsin




                                                                                        Cities with population of
                                                                                        more than 100,000:

                                                                                         Madison (state capital) is
                                                                                          in Dane County, code 13

                                                                                         Milwaukee (largest city)
                                                                                          is in Milwaukee County,
                                                                                          code 40

                                                                                         Green Bay is in Brown
                                                                                          County, code 05




                                                                4
                                                      State of Wisconsin
                                Application for State Employment - Instructions - page 4 of 4


7. GENDER - Check only one box.


8. RACE/ETHNICITY - Check only one box using the following definitions:
   Black--Not of Hispanic origin: All persons having origins in any of the black racial groups of Africa.
   Asian or Pacific Islander: All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian
   Subcontinent, or the Pacific Islands.
   American Indian or Alaska Native: Persons descending from any of the original peoples of North America who possess ¼
   degree of documented tribal descendancy or are enrolled with a federally or state recognized tribe, or are recognized by a
   federally or state recognized tribe as American Indians for state affirmative action purposes.
   Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin,
   regardless of race.
   White--Not of Hispanic origin: All persons having origins in any of the original peoples of Europe, North Africa, or the Middle
   East.

Gender and race/ethnicity information is used for equal employment opportunity/affirmative action (EEO/AA) purposes only. This information is
confidential and is retained by state human resources professionals. If you do provide this information, you may be eligible for further
consideration of job opportunities through the State of Wisconsin EEO/AA Plan.


9. EDUCATION LEVEL - Check only one box on the application. Indicate your single highest level of education completed.


10. HOW DID YOU FIND OUT ABOUT THIS JOB?
    Please identify the source(s) of information that led you to apply for this vacancy. Use the check boxes on page 2 of the
    application.


11. ACTIVE MILITARY DUTY
    If you are an active military duty member and unable to test at the regularly scheduled exam centers, complete this section
    along with the rest of the required application information, and return to the Office of State Employment Relations; Attention
    Exam Administration Coordinator; P.O. Box 7855; Madison, WI 53707-7855.


12. CERTIFICATION STATEMENT
    Your application must be signed in order to process the application.




                        Search State of Wisconsin government employment opportunities online
                                                  at www.Wisc.Jobs.

    Thank you for your interest in Wisconsin State Government employment. Wisconsin wants to find the best qualified people
 available to serve its citizens. Although everyone who applies cannot be hired, your application will be given every consideration.




                                                                      5
                                      STATE OF WISCONSIN
                               APPLICATION FOR STATE EMPLOYMENT
                                                   * Indicates mandatory fields
1. * Job Information
 Job Announcement Title (Complete an application for each job.)                          Job Announcement Code(s) (seven digits)
 Animal Research Technician
                                                                                         08-00267
                                                                                         ____ ____ - ____ ____ ____ ____ ____

        Score Reuse: Some exams allow applicants to reuse their exam scores. See page 1 of the instructions to learn more about score reuse.


2. Personal Information
 * Last Name:                                                * First Name:                                                   Middle Initial:

 * Last Four Digits of Social Security Number:             *Month of Birth (MM):         *Day of Birth (DD):        Year of Birth (YYYY)
            ____ ____ ____ ____                                ____ ____                     ____ ____              (optional) __ __ __ __

 * Mailing Address 1:

 Mailing Address 2:                                                        *Mother’s Maiden Name: (last name only)

 * City:                                             * State:               * Zip Code:                     * Country:

 E-Mail Address:

 Daytime Phone Number:                                                 Evening Phone Number:

 Other Phone Number (e.g., cell):                                      Fax Number:


3. * Are you currently legally authorized to work in the United States?                             Yes        No


4. * Are you a Wisconsin resident?                  Yes           No


5. * Work Hours (Check all that you will accept.)
    Full Time (40 hrs/week)                                                  Evening 2
                                                                                         nd
                                                                                              Shift (3pm to 11 pm or similar hours)
     Part Time (less than 40 hrs/week)                                                   rd
                                                                             Evening 3 Shift (11pm to 7am or similar hours)
     Seasonal (minimum of 600 hours per year but less
     than 1,828 hours per year.)



6. * Counties Where You Will Accept Employment (PLEASE NOTE THAT COUNTY CODES HAVE CHANGED.)
 Note: We will only consider you for jobs in the locations you indicate below. You must identify at least one county for us to
 process your application. Enter 2-digit County Code(s) below using the list provided on page 3 of the instructions.


County Code(s): __| __ __ | __ __ | __ __ | __ __ | __ __ | __ __ | __ __ | __ __ | __ __ | __ __

                                                   Application continues on next page
                                                                       6
 Gender and race information are used for equal employment opportunity/affirmative action purposes only.

 7. Gender                                   8. Race / Ethnicity

                                                 (Check only one.)                          3. American Indian or Alaskan
           Female        Male
                                                       1. Black (not Hispanic)                   Native
                                                       2. Asian or Pacific                  4. Hispanic
                                                            Islander
                                                                                            5. White (not Hispanic)

 9. Education Level



  (Check highest level completed.)                                      5. One-year vocational diploma

       1. Did not complete high school/GED                              6. Two-year associate degree

       2. Completed GED/HSED                                            7. Bachelor's degree

       3. Graduated from high school                                    8. Some graduate degree courses

       4. Some college, no degree                                       9. Graduate college degree

 10. How did you hear about this job?
       1. Office of State Employment Relations                         Internet:
       2. Job Service/Job Center                                           9. Wisc.Jobs
       3. State Agency/UW Campus                                           10. JobCenterOfWisconsin.com (JobNet)
       4. Wisc.Jobs Bulletin                                               11. State Agency/UW Campus Website
       5. Referred by Current State Employee
       6. Referred by Friend or Family
       7. Job Fair                                                        12. Other:____________________________
       8. Newspaper                                                                 Please list other source



 11. Active Duty Military
  We will test active duty military members stationed out of state who are unable to test at a regularly scheduled exam center. We
  will test only at approved U.S. military installations and only if the exam is administered by a Test Control Officer or equivalent
  person. Please provide the following information for the person who has agreed to administer the exam. A fee may be charged
  for this service.
  Test Control Officer: Last Name:_______________________________ First Name:__________________________ M.I.:____

  Title:____________________________________________            Agency:_______________________________________________

  Complete Mailing Address:__________________________________________________________________________________

  City:_______________________________ State:_______            Zip:__________________ Phone:__________________________



 12. * Certification Statement
 By signing below, I certify that the information I have provided in this application is true to the best of my knowledge and I
 understand that I may be required to verify the information before being appointed. I understand that any false,
 misleading, or missing information may disqualify me from employment consideration.


* Signature:___________________________________________________________                           Date: __ __ / __ __ / __ __ __ __




                                                                 7
                                                   AFFIDAVIT
                                  CERTIFICATION STATEMENT
                     ANIMAL RESEARCH TECH. and ANIMAL RESEARCH TECH.
                                 OBJECTIVE/INTERMEDIATE
                                Job Announcement #08-00267

       Please read the following statements, sign below, fill out the information requested, and return this form
       attached to your completed examination/application materials.

       I understand that the Objective Inventory Questionnaire is a screening device used prior to the interview and
       that the practice or attempt to practice any deception or fraud will result in my application being withdrawn or
       that I will be removed from the position if I am hired.

       WISCONSIN ADMINISTRATIVE CODE

       ER-MRS 6.10. . . the Administrator may refuse to. . . certify. . . or remove an applicant from a
       certification. . . ;

       (5) who has made a false statement of any material fact in any part of the selection process;

       (7) who practices, or attempts to practice, any deception or fraud in application, certification,
       examination, or in securing eligibility or appointment;. . .

       (10) who has in any manner gained access to special or secret information regarding the content of an
       examination.

       WISCONSIN STATUTES:

       Section 230.43 Misdemeanors; how punished. (1) Obstruction or Falsification of Examinations. Any
       person. . . (c) who willfully or corruptly makes any false representations concerning the same
       (examination). . . (e) … shall for each offense be guilty of a misdemeanor.

              (3)      Penalty. Misdemeanors under this section are punishable by a fine of not less than
                      $50, nor more than $1,000, or by imprisonment for not more than one year or both.

       I certify that I have read and acknowledge that I understand the preceding excerpts from the Wisconsin
       Administrative Code, ER-MRS 6.10, and Wisconsin Statutes, sec. 230.43 which relate to security of
       examination information in any part of the selection process. I also certify that my responses to the
       questions on this Objective Inventory Questionnaire are true to the best of my recollection and that I can
       document these experiences if required to do so at some time in the future.

First Name (Print)                                        Last Name (Print)

* Last Four Digits of Social Security Number:             Day Phone #

Address                                                   City, State & Zip

Applicant Signature

Date Signed



                                                             8
              UNIVERSITY OF WISCONSIN-MADISON – Animal Research Tech., Animal Research Tech-Obj/Intermed
                                    JOB ANNOUNCEMENT CODE: 08-00267
                                         Objective Inventory Questionnaire
                                                                                                                            Last Four Digits of Social Security #_________

For items 1 through 162, use the response criteria below to rate your education/training and experience for each statement that describes a task or activity. Please choose the
Education or Training (A, B, C or D) and Experience level (A, B, C, D or E) that is MOST representative of your training and experience with the task or activity listed. Enter one
response for each numbered blank.

EXPERIENCE RESPONSE CRITERIA
                        EDUCATION OR TRAINING (EOT)                                                         PROFESSIONAL WORK EXPERIENCE (PWE)
  A     I have not been trained to perform this task or activity.                                           A   I have not performed this task or activity.
  B     I have informal training (self-taught, FFA or 4-H classes, etc.) in this area.                      B   I have experience as a volunteer performing this task or activity.
  C     I have employer provided training on performing this task or activity (i.e. employer in-service,    C   I have performed this task or activity as part of a supervised
        training through Research Animal Resource Center, American Association of Laboratory                    practicum/internship OR for at least three (3) months or 500 hours.
        Animal Science - AALAS).
  D     I have formal academic classroom preparation on performing this task or activity (i.e. general or   D   I have performed this task or activity for at least six (6) months or
        technical college, university).                                                                         1000 hours.
                                                                                                            E   I have performed this task or activity for at least twelve (12) months
                                                                                                                or 2000 hours.

                                                                           EXAMPLE                                                                                  EOT           PWE
 Presented training materials to groups using Power Point                                                                                                     1.     C       2.     D
 Analyzed budget using cost/benefit analysis                                                                                                                  3.     B       4.     A


                                                            SECTION 1: ANIMAL HUSBANDRY (Questions 1-26)
 TASK OR ACTIVITY STATEMENT                                                                                                                                         EOT            PWE
 Monitored and adjusted animal room temperatures and humidity.                                                                                                1.              2.
 Fed, watered and handled animals                                                                                                                             3.              4.

 Restrained animals for purposes such as grooming or medicating.                                                                                              5.              6.
 Performed microbial testing of animal areas and equipment.                                                                                                   7.              8.
 Collected blood, urine and/or fecal samples.                                                                                                                 9.              10.
 Provided care for animals recovering from surgery.                                                                                                           11.             12.


                                                                                            9
Animal Research Technician – 08-00267                                                                       Last Four Digits of Social Security #________
                                                      SECTION 1: ANIMAL HUSBANDRY - Continued
TASK OR ACTIVITY STATEMENT                                                                                                                     EOT      PWE
Mixed and prepared special diets according to instructions.                                                                              13.          14.
Assisted with social housing and enrichment of animals.                                                                                  15.          16.
Calculated drug doses or dilutions.                                                                                                      17.          18.
Observed animals for signs of injury or illness and reported problems to the appropriate staff.                                          19.          20.
Maintained computerized records.                                                                                                         21.          22.
Observed animal behavior deviations from the normal.                                                                                     23.          24.
Performed hands on treatments to animals (injections, oral dosing, applying bandages, topical drug application, etc.)                    25.          26.



                                            SECTION 2: REGULATIONS AND COMPLIANCE (Questions 27-44)
TASK OR ACTIVITY STATEMENT                                                                                                                     EOT      PWE
Followed written and verbal rules and instructions regarding use of personal protective equipment.                                       27.          28.
Followed written and verbal rules and instructions regarding safety procedures.                                                          29.          30.
Monitored compliance with Animal Welfare Act (e.g. cage washing schedule, cage size, environment).                                       31.          32.
Identified occupational health and safety problems and reported to appropriate staff.                                                    33.          34.
Maintained daily animal activity log records such as washing schedule, cage change or feed intake.                                       35.          36.
Ordered supplies and equipment to maintain inventory.                                                                                    37.          38.
Maintained daily activity, operations, or other logs or records in a work environment.                                                   39.          40.
Followed Standard Operating Procedures in a research or instructional facility or other work environment.                                41.          42.
Handled and disposed biohazardous waste, sharps, or spills.                                                                              43.          44.

                                      SECTION 3: EQUIPMENT SANITIZING AND MAINTENANCE (Questions 45-64)
TASK OR ACTIVITY STATEMENT                                                                                                                     EOT      PWE
Cleaned and sanitized animal rooms, pens, cages and/or accessory equipment.                                                              45.          46.
Cleaned and sanitized other industrial rooms, worksites and/or equipment.                                                                47.          48.
Operated sanitization equipment (autoclave).                                                                                             49.          50.


                                                                                  10
Animal Research Technician – 08-00267                                                                     Last Four Digits of Social Security #________
                                         SECTION 3: EQUIPMENT SANITIZING AND MAINTENANCE - Continued
TASK OR ACTIVITY STATEMENT                                                                                                                   EOT      PWE

Maintained sanitization equipment (autoclave).                                                                                         51.          52.

Operated industrial washing equipment (automatic cage washer and power-washer).                                                        53.          54.
Performed routine maintenance on cage washing equipment.                                                                               55.          56.
Performed routine maintenance on industrial washing equipment.                                                                         57.          58.
Operated industrial floor care equipment (floor scrubber/waxer).                                                                       59.          60.
Maintained industrial floor care equipment (floor scrubber/waxer).                                                                     61.          62.
Maintained industrial air filtering systems.                                                                                           63.          64.
              SECTION 4: NON-HUMAN PRIMATES (i.e., macaque species (rhesus, cynomologous), marmosets, squirrel monkeys, vervets)
                                                        (Questions 65-84)
TASK OR ACTIVITY STATEMENT                                                                                                                   EOT      PWE
Worked with non-human primates in a research facility, clinic, hospital or zoo.                                                        65.          66.
Provided general husbandry duties with a colony of non-human primates.                                                                 67.          68.
Restrained non-human primates following Standard Operating Procedures (manual or chemical).                                            69.          70.
Observed and recognized normal non-human primate behavior.                                                                             71.          72.
Followed precautions necessary to prevent transferring diseases between human and non-human primates and between individual animals    73.          74.
and their conspecifics.
Provided clinical and/or post-operative observations of non-human primates.                                                            75.          76.
Provided clinical and/or post-operative treatments of non-human primates (i.e. oral, subcutaneous, intra-muscular).                    77.          78.
Collected blood, urine or fecal samples from non-human primates.                                                                       79.          80.
Collected behavioral or reproductive data from non-human primates.                                                                     81.          82.
Assisted with TB testing on non-human primates.                                                                                        83.          84.




                                                                                  11
Animal Research Technician – 08-00267                                                              Last Four Digits of Social Security #________
                                  SECTION 5: LARGE ANIMAL (i.e., cattle, sheep, pigs, horses, goats)-(Questions 85-108)
TASK OR ACTIVITY STATEMENT                                                                                                            EOT      PWE
Bedded animals with proper bedding materials.                                                                                   85.          86.
Maintained computerized production records (such as milk production, rate of gain, litter size).                                87.          88.
Weighed and mixed feed ingredients according to specific instructions.                                                          89.          90.
Followed detailed instructions to feed a specific ration.                                                                       91.          92.
Operated Total Mixed Ration (TMR) ration mixer.                                                                                 93.          94.
Operated feed cart.                                                                                                             95.          96.
Operated bedding Chopper.                                                                                                       97.          98.
Operated silos.                                                                                                                 99.          100.
Operated silo unloader.                                                                                                         101.         102.
Operated skid steer loader.                                                                                                     103.         104.
Operated cattle chute/headlock.                                                                                                 105.         106.
Operated tractors and power take off (PTO) driven equipment.                                                                    107.         108.


                                                      SECTION 6: DAIRY ANIMALS (Questions 109-138)
TASK OR ACTIVITY STATEMENT                                                                                                            EOT      PWE
Followed proper recommendations for animal prep prior to and after milking.                                                     109.         110.
Identified cows or sheep with clinical mastitis.                                                                                111.         112.
Attached and adjusted milking units.                                                                                            113.         114.
Directed smooth and calm movement of cows or sheep to and from milking parlor.                                                  115.         116.
Weighed dairy animals.                                                                                                          117.         118.
Restrained dairy animals for routine handling.                                                                                  119.         120.
Directed dairy animals to and from stalls in a conventional (tiestall) barn.                                                    121.         122.
Treated dairy animals with mastitis, cuts or abrasions.                                                                         123.         124.
Observed dairy animal behavior for deviations from the norm.                                                                    125.         126.
Assisted dairy animals during calving or lambing.                                                                               127.         128.
                                                                                 12
Animal Research Technician – 08-00267                                                         Last Four Digits of Social Security #________
                                                           SECTION 6: DAIRY ANIMALS - Continued
TASK OR ACTIVITY STATEMENT                                                                                                    EOT         PWE
Fed newborn dairy animals from birth to weaning.                                                                           129.         130.
Administered medication to dairy animal via syringe and needle.                                                            131.         132.
Applied halter to dairy animal.                                                                                            133.         134.
Milked cows or sheep in milking parlor.                                                                                    135.         136.
Operated chute/headlock to restrain dairy animal.                                                                          137.         138.


                                                       SECTION 7: BEEF CATTLE (Questions 139-162)
TASK OR ACTIVITY STATEMENT                                                                                                    EOT         PWE
Directed smooth and calm movement of beef cattle.                                                                          139.         140.
Weighed beef cattle.                                                                                                       141.         142.
Restrained beef cattle for routine handling.                                                                               143.         144.
Treated beef cattle with injuries or sickness.                                                                             145.         146.
Observed beef cattle behavior for deviations from the norm.                                                                147.         148.
Handled and assisted beef cows during calving.                                                                             149.         150.
Cared for newborn beef calves from birth through weaning.                                                                  151.         152.
Administered medication to beef cattle via syringe and needle.                                                             153.         154.
Applied halter to beef cattle.                                                                                             155.         156.
Operated cattle chute/headlock.                                                                                            157.         158.
Handled and cared for beef bulls.                                                                                          159.         160.
Handled and cared for receiving cattle after a long transportation.                                                        161.         162.




                                                                           13
Animal Research Technician – 08-00267        Last Four Digits of Social Security #________
                SECTION 8: TRAINING PROGRAMS and/or CERTIFICATIONS
You must provide documentation with your application materials if you mark “YES” to any items 163-169 below.
KEY
A = NO
B = YES
TASK OR ACTIVITY STATEMENT                                                                        ANSWER
I am certified by the American Association for Laboratory Science (AALAS) as an Assistant         163.
Laboratory Animal Technician (ALAT).
I am certified by the AALAS as a Laboratory Animal Technician (LAT).                              164.
I am certified by the AALAS as a Laboratory Animal Technologist (LATG).                           165.
I have completed a 2 year associate degree in a Veterinary Technician program.                    166.
I have completed a 2 year associate degree in a Laboratory Animal Technician program.             167.
I have completed the 5 week program at Madison Area Technical College resulting in a Laboratory   168.
Animal Training certificate.
I have a four year degree in a related field such as Animal Sciences.                             169.

                                             SECTION 9: PREFERENCES
KEY
A = NO
B = YES
TASK OR ACTIVITY STATEMENT                                                                        ANSWER
I will work with any species of animal.                                                           170.
I will work with small animals (i.e. rats, mice, rabbits, chickens, fish, dogs, cats, etc.).      171.
I will work with large animals (i.e. sheep, horses, cattle, goats, pigs, etc.).                   172.
I will work with non-human primates (i.e. macaque species such as rhesus, cynomologous,           173.
marmosets, vervets, squirrel monkeys, etc.).
I will work with exotics (i.e. reptiles, parrots, etc.).                                          174.
I am willing to work weekends on a rotating basis.                                                175.
I am willing to work every weekend.                                                               176.




                                                                                       14
Animal Research Technician – 08-00267                      Last Four Digits of Social Security #________

Please provide the name, title, address and phone number of two references who can verify training and
                experience claimed above (subject to verification prior to appointment).
First Reference Name                       Professional/Title


Address: Street                   City                                   State/Zip


Home Telephone                             Work Telephone
     (     )                                    (       )
Second Reference Name                               Professional/Title


Address: Street                   City                                   State/Zip


Home Telephone                                       Work Telephone
   (      )                                               (      )

                                                                END OF EXAM QUESTIONS




                                                                         15

				
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