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11 Office Use Only: Journey Electrical Lineman OR Apprentice Lineman III/IV POSITION APPLIED FOR: Date: Employment Application City of Cody P.O. Box 2200 ~ Cody, WY 82414 Name Last First Middle Street/Mailing Address: City St Zip Email Address: Work Phone: Home Phone: Cell Phone: List other names, if any, used on employment or education records: Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? □ Yes □ No Are you 18 yrs or older? □ Yes □ No Are you under the age of 14? □ Yes □ No For Temporary/Seasonal Hire – Please complete the following. Dates Available for Employment: From to Have you ever been convicted of a felony? □ Yes □ No If yes, describe in full detail, giving dates (Criminal convictions are not an absolute bar to employment, but will be considered in relation to specific job requirements.) Have you ever worked for or are you currently working for the City of Cody? □ Yes □ No If yes, please give dates and department(s): Prior Position(s): Reason(s) for leaving: Do you have any relatives working for the City of Cody? □ Yes □ No If yes, please give their name, department and relationship: P E R S O N A L I N F O R M A T I O N ---PAGE BREAK--- E D U C A T I O N School Name and Address of School Course Circle Last Year Did You List Diploma Of Study Completed Graduate or Degree(s) High 8 9 10 11 12 □ Yes □ No College 1 2 3 4 □ Yes □ No Other (Specify) S P E C I A L S K I L L S Special Skills Relating To The Position For Which You Are Applying: (clerical skills, heavy equipment operating skills, etc.) C E R T I F I C A T I O N S Driver’s License: If required for this position: Do you have a valid Driver’s License? □ Yes □ No State: License Number: Expiration Date: Do you have a Commercial Driver’s License? □Yes □ No If yes, specify: Class: B, C) Endorsements Held: Hazardous Material □ Tanker □ Airbrakes □ Passenger □ (Please check all that apply) Other (specify) Certificates: (CPA, PE, Boiler Operator, Life guard, etc) Name and address of Licensing Agency Type of License Endorsement/Restriction (if applicable) Date Licensed Date Expires (if applicable) ---PAGE BREAK--- E M P L O Y M E N T H I S T O R Y Employment Experience Instructions: Begin with your present or most recent job and list your entire work experience with emphasis on experience relevant to the position for which you are applying. Include military service and any volunteer work which provided experience that would help you qualify. If the space below is not adequate, you may continue this section on a separate sheet of paper. This information must be completed. Notice to Applicants: Information that you provide on this application is subject to verification. Previous employers may be contacted as references or for verification. Do you want to be informed before we contact your present employer? □ Yes □ No Current Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: Past Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: Past Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: AUTHORIZATION TO RELEASE INFORMATION I certify that all information provided in this application is true and complete. I understand misrepresentation or omission of facts during the application or selection process may disqualify me from further consideration and may be cause for dismissal. I understand the City of Cody may conduct a background investigation, which may include obtaining information as to my character, reputation, and mode of living. This may include interviews with my relatives, neighbors, friends, former employers, schools and others. I understand I have the right to make a written request within a reasonable time for the disclosure of the name and address of any consumer reporting agency which may be utilized in the background investigation so I may obtain a complete disclosure of the nature and scope of the investigation. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations named in this application to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre- employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I understand that I may also be required to successfully pass drug and alcohol screening examinations. I hereby consent to pre- and/or post-employment drug and alcohol screens as a condition of employment, if required. I have read, understand, and by my signature, consent to these statements. I authorize investigation of all information contained in this application. Signature of Applicant Date (Revised 2013) References: List three references, excluding relatives, who have knowledge of your ability to perform this job. Name of Reference Complete Mailing Address Telephone Number Years Acquainted ---PAGE BREAK--- City of Cody Job Description Title: Journey Electric Lineman Code: 418 Department: Electric Effective Date: 03/2007 Division: Operations Last Revised: GENERAL PURPOSE Performs a variety of journey level, technical duties related to performing and effecting power system installation, distribution, transmission and maintenance. SUPERVISION RECEIVED Works under the general supervision of the Lead Electric Lineman or Electric Superintendent. SUPERVISION EXERCISED None. ESSENTIAL FUNCTIONS Conducts general technical analysis of line functions and operations as needed to anticipate and prevent line problems; makes recommendations for line specifications on new construction and circuit enhancements; prepares routine reports of activities; uses various equipment, tools and vehicles in maintaining an electrical distribution system to assure against loss of service. Performs construction, installation, maintenance and repair ;performs connecting, installing, maintaining and repairing of energized overhead and underground power distribution and transmission lines; operates line trucks, line working apparatus and heavy equipment; digs pole holes and trenches, sets and frames poles; climbs poles, descends into vaults or trenches; strings lines; splices and sags wire on live or dead circuits; connects or disconnects transformers, cutouts, meters and guide wires, changes insulators on high voltage lines and taps into transmission lines; makes URD splicing and terminations; locates damaged lines and poles; trouble shoots power distribution equipment to determine problems; splices cables; repairs, sets and terminates transformers; conducts voltage and amperage checks and system tests ; replaces fixtures in crossarms; hangs insulators; replaces and repairs fuses, grounds, etc. Responds to emergency calls, resolves power problems and restores power outages; makes connections and disconnections for customers; informs public of pending outages due to repair; repairs street lights, trims trees and removes other line obstructions; explains problems to public; requests cooperation during repair; uses various technical tools including crimpers, hot sticks, cutters, body belts, bucket truck, wire pullers, etc. Assists in maintaining inventory of instruments, meters, instrument transformers and related equipment, materials and supplies. Performs a variety of maintenance testing, calibration and repair on electrical instruments including single phase, watt hour and demand meters, recording volt and amp meters, transformers, etc., used in electrical utility programs for testing equipment; tests and maintains equipment; determines cause of meter malfunction. Tests personal protective equipment used in high voltage work, including rubber gloves, etc.; installs and services City street lights. ---PAGE BREAK--- Journey Electric Lineman, page 2 Performs miscellaneous duties affecting the overall delivery and quality of power services; including, line locations for underground system; pulls wire; completes termination’s and performs shut-off's, utilizes rubber gloving methods; prepares rigging for poles; assists with electrical and GFI inspections; performs substation readings; performs permanent power and temporary power connections; responds to power outages; services power plant, checking oil levels, battery water levels and output. Performs routine service on all trucks; performs tree trimming; operates backhoe, boom trucks, dump truck, etc. Performs all other duties as assigned. MINIMUM QUALIFICATIONS 1. Education and Experience: A. Graduation from high school or GED; plus four years of specialized training provided through vocational college or professionally sponsored certificate programs; AND B. Four years of experience performing above and related duties; OR C. An equivalent combination of education and experience. 2. Knowledge, Skills, and Abilities: Considerable knowledge of general electrical engineering principles and practices; general electrical system construction and maintenance; modern methods, principles and practices of power transmission and distribution; operation of meters, gauges and instruments associated with electricity and electric power generation and distribution; metering equipment maintenance; equipment and materials used in construction and maintenance operations; current codes, standards, safety practices and principles involved in power utility operations. Working knowledge of legal environment associated with power utility projects, construction and maintenance; OSHA rules and regulations regarding work with energized electrical equipment. Journey Skill in the use of various heavy equipment, hand and power tools crimpers, hot sticks, cutters, body belts, bucket truck, line truck, wire pullers, digger derrick, power saw, wood chipper, etc. Ability to keep operating records and prepare reports; establish and maintain effective working relationships with employees, other agencies and the public. 3. Special Qualifications: Must a certified journeyman power lineman through an accredited 4 year apprentice program. Must possess and maintain a valid Wyoming class Commercial Drivers License (CDL). Must maintain annual continuing education requirements related to licenses and certifications. Must be CPR certified. Must be on the on-call schedule and live within a 20 minute response time. 4. Work Environment: Incumbents of the position perform normally in an outdoor, physical environment. Tasks require variety of physical activities involving muscular strain, related to walking, standing, stooping, sitting, reaching and lifting. Essential functions require talking, hearing and seeing. Common and complex eye, hand, finger dexterity exist. Mental application utilizes memory for details, verbal instructions, emotional stability, discriminating thinking and creative problem solving. Daily travel required in normal course of job performance. Regular exposure to changing weather conditions and hazards common to high voltage power system. Disclaimer: The above statements describe the general nature, level, and type of work performed by the incumbent(s) assigned to this classification. They are not intended to be an exhaustive list of all responsibilities, demands, and skills required of personnel so classified. Job descriptions are not intended to and do not imply or create any employment, compensation, or contract rights to any person or persons. Management reserves the right to add, delete, or modify any and/or all provisions of this description at any time as needed without notice. This job description supersedes earlier versions. I have reviewed the above job description. (Employee) ---PAGE BREAK--- City of Cody Job Description Title: Apprentice Electric Lineman IV Code: 419 Department: Electric Effective Date: 03/2007 Division: Operations Last Revised: GENERAL PURPOSE Performs a variety of apprentice level, technical duties related to performing and effecting power system installation, distribution, transmission and maintenance. SUPERVISION RECEIVED Works under the general supervision of the Lead Electric Lineman or Electric Superintendent. SUPERVISION EXERCISED None. ESSENTIAL FUNCTIONS Assists with the general technical analysis of line functions and operations as needed to anticipate and prevent line problems; makes recommendations for line specifications on new construction and circuit enhancements; prepares routine reports of activities; uses various equipment, tools and vehicles in maintaining an electrical distribution system to assure against loss of service. Assists with the construction, installation, maintenance and repair of substations, and circuits for overhead and underground power lines; digs trenches and lays pipe for underground lines; assists in building new substations and maintains existing substations. Assists with connecting, installing, maintaining and repairing of energized overhead and underground power distribution and transmission lines; operates line trucks, line working apparatus and heavy equipment; digs pole holes and trenches, sets and frames poles; climbs poles, descends into vaults or trenches; strings lines; splices and sags wire on live or dead circuits; connects or disconnects transformers, cutouts, meters and guide wires, changes insulators on high voltage lines ; makes URD splicing and terminations; locates damaged lines and poles; trouble shoots power distribution equipment to determine problems; splices cables; repairs, sets and terminates transformers; conducts voltage and amperage checks and system tests ; replaces fixtures on crossarms; hangs insulators; replaces and repairs fuses, grounds, etc. Responds to emergency calls, resolves power problems and restores power outages; makes connections and disconnections for customers; informs public of pending outages due to repair; repairs street lights, trims trees and removes other line obstructions; explains problems to public; requests cooperation during repair; uses various technical tools including crimpers, hot sticks, cutters, body belts, bucket truck, wire pullers, etc. Assists in the maintaining of meters, instrument transformers and related equipment, materials and supplies. Assists with a variety of maintenance testing, calibration and repair on electrical instruments including single phase, watt hour and demand meters, recording volt and amp meters, transformers, etc., used in electrical utility programs for testing equipment; tests and maintains equipment; determines cause of meter malfunction. Tests personal protective equipment used in high voltage work, including rubber gloves, etc.; performs complex electrical maintenance projects on city buildings and facilities; runs power lines, installs breakers, installs main power boxes; installs and maintains plugs and related connections. ---PAGE BREAK--- Apprentice Electric Lineman IV, page 2 Assists with miscellaneous duties affecting the overall delivery and quality of power services; including, line locations for underground system; pulls wire; completes termination’s and performs shut-off's, utilizes rubber gloving methods; prepares rigging for poles; assists with electrical and GFI inspections; performs substation readings; performs permanent power and temporary power connections; responds to power outages; services power plant, checking oil levels, battery water levels and output. Performs routine service on all trucks; performs tree trimming; operates backhoe, boom trucks, dump truck, etc. Performs all other duties as assigned. MINIMUM QUALIFICATIONS 1. Education and Experience: A. Graduation from high school or GED; plus three years of specialized training provided through vocational college or professionally sponsored certificate programs; AND B. Three years of experience performing above and related duties; OR C. An equivalent combination of education and experience. 2. Knowledge, Skills, and Abilities: Working knowledge of general electrical system construction and maintenance; modern methods, principles and practices of power transmission and distribution; operation of meters, gauges and instruments associated with electricity and electric power generation and distribution; metering equipment maintenance; equipment and materials used in construction and maintenance operations; current codes, standards, safety practices and principles involved in power utility operations. Some knowledge of the legal environment associated with power utility projects, construction and maintenance; OSHA rules and regulations regarding work with energized electrical equipment. Apprentice Skill in the use of various heavy equipment, hand and power tools crimpers, hot sticks, cutters, body belts, bucket truck, line truck, wire pullers, digger derrick, power saw, wood chipper, etc. Ability to keep operating records and prepare reports; establish and maintain effective working relationships with employees, other agencies and the public. 3. Special Qualifications: Must become a certified journeyman power lineman through an accredited apprentice program within one year of hire. Must possess and maintain a valid Wyoming class Commercial Drivers License (CDL). Must maintain annual continuing education requirements related to licenses and certifications. Must be CPR certified. Must be on the on-call schedule and live within a 20 minute response time. 4. Work Environment: Incumbents of the position perform normally in an outdoor, physical environment. Tasks require variety of physical activities involving muscular strain, related to walking, standing, stooping, sitting, reaching and lifting. Essential functions require talking, hearing and seeing. Common and complex eye, hand, finger dexterity exist. Mental application utilizes memory for details, verbal instructions, emotional stability, discriminating thinking and creative problem solving. Daily travel required in normal course of job performance. Regular exposure to changing weather conditions and hazards common to high voltage power system. Disclaimer: The above statements describe the general nature, level, and type of work performed by the incumbent(s) assigned to this classification. They are not intended to be an exhaustive list of all responsibilities, demands, and skills required of personnel so classified. Job descriptions are not intended to and do not imply or create any employment, compensation, or contract rights to any person or persons. Management reserves the right to add, delete, or modify any and/or all provisions of this description at any time as needed without notice. This job description supersedes earlier versions. I have reviewed the above job description. (Employee) ---PAGE BREAK--- City of Cody Job Description Title: Apprentice Electric Lineman III Code: 420 Department: Electric Effective Date: 03/2007 Division: Operations Last Revised: GENERAL PURPOSE Performs a variety of apprentice level, technical duties related to performing and effecting power system installation, distribution, transmission and maintenance. SUPERVISION RECEIVED Works under the close supervision of the Lead Lineman or Electric Superintendent. SUPERVISION EXERCISED None. ESSENTIAL FUNCTIONS Assists in the general technical analysis of line functions and operations as needed to anticipate and prevent line problems; makes recommendations for line specifications on new construction and circuit enhancements; prepares routine reports of activities; uses various equipment, tools and vehicles in maintaining an electrical distribution system to assure against loss of service. Assists in the construction, installation, maintenance and repair of substations, and circuits for overhead and underground power lines; digs trenches and lays pipe for underground lines; assists in building new substations and maintains existing substations. Assists with connecting, installing, maintaining and repairing of energized overhead and underground power distribution and transmission lines; operates line trucks, line working apparatus and heavy equipment; digs pole holes and trenches, sets and frames poles; climbs poles, descends into vaults or trenches; strings lines; splices and sags wire on live or dead circuits; connects or disconnects transformers, cutouts, meters and guide wires, changes insulators on high voltage lines and taps into transmission lines; makes URD splicing and terminations; locates damaged lines and poles; trouble shoots power distribution equipment to determine problems; splices cables; repairs, sets and terminates transformers; conducts voltage and amperage checks and system tests ; replaces fixtures in crossarms; hangs insulators; replaces and repairs fuses, grounds, etc. Responds to emergency calls, resolves power problems and restores power outages; makes connections and disconnections for customers; informs public of pending outages due to repair; repairs street lights, trims trees and removes other line obstructions; explains problems to public; requests cooperation during repair; uses various technical tools including crimpers, hot sticks, cutters, body belts, bucket truck, wire pullers, etc. Assists to maintain inventory of instruments, meters, instrument transformers and related equipment, materials and supplies. Assists with a variety of maintenance testing, calibration and repair on electrical instruments including single phase, watt hour and demand meters, recording volt and amp meters, transformers, etc., used in electrical utility programs for testing equipment; tests and maintains equipment; determines cause of meter malfunction. Tests personal protective equipment used in high voltage work, including rubber gloves, etc.; installs and services City street lights. ---PAGE BREAK--- Apprentice Electric Lineman III, page 2 Assists with miscellaneous duties affecting the overall delivery and quality of power services; including, line locations for underground system; pulls wire; completes termination’s and performs shut-off's, utilizes rubber gloving methods; prepares rigging for poles; assists with electrical and GFI inspections; performs substation readings; performs permanent power and temporary power connections; responds to power outages; services power plant, checking oil levels, battery water levels and output. Operates chipper; performs routine service on all trucks; performs tree trimming; operates backhoe, boom trucks, dump truck, etc. Performs all other duties as assigned. MINIMUM QUALIFICATIONS 1. Education and Experience: A. Graduation from high school or GED; plus two years of specialized training provided through vocational college or professionally sponsored certificate programs; AND B. Two years of experience performing above and related duties; OR C. An equivalent combination of education and experience. 2. Knowledge, Skills, and Abilities: Working knowledge of general electrical system construction and maintenance; modern methods, principles and practices of power transmission and distribution; operation of meters, gauges and instruments associated with electricity and electric power generation and distribution; metering equipment maintenance; equipment and materials used in construction and maintenance operations; current codes, standards, safety practices and principles involved in power utility operations. Some knowledge of OSHA rules and regulations regarding work with energized electrical equipment. Apprentice Skill in the use of various heavy equipment, hand and power tools crimpers, hot sticks, cutters, body belts, bucket truck, line truck, wire pullers, digger derrick, power saw, wood chipper, etc. Ability to keep operating records and prepare reports; establish and maintain effective working relationships with employees, other agencies and the public. 3. Special Qualifications: Must become a certified journeyman power lineman through an accredited apprentice program within two years of hire. Must possess and maintain a valid Wyoming class Commercial Drivers License (CDL). Must maintain annual continuing education requirements related to licenses and certifications. Must be CPR certified. Must be on the on-call schedule and live within a 20 minute response time. 4. Work Environment: Incumbents of the position perform normally in an outdoor, physical environment. Tasks require variety of physical activities involving muscular strain, related to walking, standing, stooping, sitting, reaching and lifting. Essential functions require talking, hearing and seeing. Common and complex eye, hand, finger dexterity exist. Mental application utilizes memory for details, verbal instructions, emotional stability, discriminating thinking and creative problem solving. Daily travel required in normal course of job performance. Regular exposure to changing weather conditions and hazards common to high voltage power system. Disclaimer: The above statements describe the general nature, level, and type of work performed by the incumbent(s) assigned to this classification. They are not intended to be an exhaustive list of all responsibilities, demands, and skills required of personnel so classified. Job descriptions are not intended to and do not imply or create any employment, compensation, or contract rights to any person or persons. Management reserves the right to add, delete, or modify any and/or all provisions of this description at any time as needed without notice. This job description supersedes earlier versions. I have reviewed the above job description. (Employee)