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Join Our Team

Miller Industrial Manufacturing is an equal opportunity employer and we welcome applications from qualified potential employees. We are proud to offer a comprehensive benefits package including: Competitive Salaries, 401(k) Match, Fully Paid Health Insurance, Vision and Dental, Insurance, Profit Sharing, Paid Vacation

Before you begin - this employment application will take approxamately 30 mins to one hour to complete. You will need your schooling information, job history, three profressional references, and more.

First Name *

Middle *

Last Name *

Address *

How long have you lived at this address? *

Phone *

Are you under the age of 18? *

Age

Desired Salary (range) *

Can you work nights? *

Briefly describe your skills (ie. welding, engineering)

What date can you start working? *

Do you have a drivers license? *

License expiration date *

Have you had any accidents in the past 3 years? *

Ho many accidents have you been in in the last three years? *

Do did you attend college or other higher education? *

Area of study *

Did you graduate? *

Year you graduated *

Degree Type *

School Name *

Did you graduate high school? *

Explain *

School Name Attended *

Year you graduated *

Employment History

	Employer
1	Company * Phone * Supervisors Name (first and last) * Address * Job Title * Responsibilities * Reason for leaving * May we contact your supervisor as a reference? * Starting Salary Ending Salary
1	Company * Phone * Supervisors Name (first and last) * Address * Job Title * Responsibilities * Reason for leaving * May we contact your supervisor as a reference? * Starting Salary Ending Salary

Add Another Employer

Reference 1

First Name *

Last Name *

Phone *

Email *

Relationship *

Reference 2

First Name *

Last Name *

Phone *

Email *

Relationship *

Reference 3

First Name *

Last Name *

Phone *

Email *

Relationship *

Are you now, or have you ever been a member of the armed forces? *

Are you now a member of the National Guard? *

Specialty *

Discharge date

Tell us about your skills and training that would apply to our company. *

Emergency Contact

First Name *

Lsat Name *

Phone *

Relationship *

Address *

Signature

Agreement

I certify that the statements made by me on this application are true and complete to the best of my knowledge and are made in good faith. I understand that if I knowingly make any misstatement of fact, I am subject to disqualification and dismissal and to such other penalties as may be prescribed by law or personnel regulations. All statements made on this application, including employment information, are subject to verification, as a condition of employment.

I agree

I completed this application myself *