id&qtp&qim&qil&qtx&qca&qia&qrm&qnxt&qprv&qalb&subj&wght&pts&flr&ded&layout&qfixed&qptsbyans&flags applica2.001&nrt&0&N&Please enter your full name:&50&&&&&&app.0&&&& applica2.002&nrt&0&N&Please enter your Social Security Number:&11&&&&&&app.0&&&& applica2.003&nrt&0&N&Title or Position:&50&&&&&&app.0&&&& applica2.004&nrt&0&&Department:&50&&&&&&app.0&&&& applica2.005&nrt&0&&Company Name:&50&&&&&&app.0&&&& applica2.006&nrt&0&&Company Address:&100&&&&&&app.0&&&& applica2.007&nrt&0&&Business Telephone Number:&15&&&&&&app.0&&&& applica2.008&nrt&0&&Business Fax Number:&15&&&&&&app.0&&&& applica2.009&nrt&0&&Business Email Address:&50&&&&&&app.0&&&& applica2.010&nrt&0&N&Years of general work experience:&10&&&&&&wrkexp.0&&&& applica2.011&nrt&0&N&Years of mortgage servicing experience:&10&&&&&&wrkexp.0&&&& applica2.012&mcs&0&&Education: (check the highest level attained)&&1 - High School;2 - Some College;3 - Bachelor's Degree;4 - Advanced Degree;&&&&a&edu.0&&&& applica2.013&nrt&0&&List Mortgage Bankers' Association courses completed:&200&&&&&&edu.0&&&& applica2.014&mcs&0&&Specialty Area: (check specialty applying for)&&1 - Adverse Matters;2 - Custodial Accounting;3 - Default Servicing;4 - General Servicing;5 - Investor Reporting;6 - Loss Mitigation - emphasis on workout negotiations;7 - Special Products;8 - Train-the-Trainer - emphasis on delivering structured training;&&&&a&spc.0&&&& applica2.015&nrt&0&&Number of years in the speciality you selected:&10&&&&&&spc.0&&&& applica2.016&mcs&0&&Experience with MIDANET®:&&1 - None;2 - Some;3 - Proficient;&&&&a&spc.0&&&& applica2.017&mcs&0&N&Experience with GoldWorks:&&1 - None;2 - Some;3 - Proficient;&&&&a&spc.0&&&& applica2.018&mcs&0&N&Experience with Early Indicator:&&1 - None;2 - Some;3 - Proficient;&&&&a&spc.0&&&& applica2.019&mcs&0&&Experience with Workout Prospector:&&1 - None;2 - Some;3 - Proficient;&&&&a&spc.0&&&& applica2.020&mcs&0&&Experience with Internet:&&1 - None;2 - Some;3 - Proficient;&&&&a&spc.0&&&& applica2.021&mcs&0&&Experience with Microsoft Word:&&1 - None;2 - Some;3 - Proficient;&&&&a&spc.0&&&& applica2.022&mcs&0&&Experience with Microsoft PowerPoint:&&1 - None;2 - Some;3 - Proficient;&&&&a&spc.0&&&& applica2.023&mcs&0&&Certification option desired:&&1 - Train only;2 - Delegations only;3 - Both;&&&&a&spc.0&&&& applica2.024&nrt&0&N&Session Location and Date Desired: (schedule available at http://www.freddiemac.com/learn)&100&&&&&&spc.0&&&& applica2.025&mcm&0&N&Identify Training Tools Available To You: (may be available in HR/training areas check all that apply)&&1 - PCs;2 - Media Player;3 - LCD Panel;4 - Overhead Projector;5 - Internet;6 - Other;&&&&a&spc.0&&&& applica2.026&nrt&0&&Please describe any other training tools that are available to you:&100&&&&&&spc.0&&&& applica2.027&mcs&0&Y&-&&-;;;&&&&a&inst.0&&&& applica2.028&esa&1&N&Prior to submitting this form please open and print out the illustration. After submitting this form, the exam for the Loss Mitigation Speciality classes you recently completed will be started. Please read each question carefully. Please enter your initials below to submit this form and continue to the test.&any&&&&&&inst.0&&&& applica2.029&esa&0&Y&Please print the attached worksheet prior to starting this test&any&&&&&&wksht.0&&&&