Careers - Miller Mechanical Services, Inc.

Applicant Information

Full Name (First, Middle, Last)

How long have you lived at this address?

If under 18, please list your age

Can you work nights?

Employment desired

Full time Part time

When available to start work?

High School

Name of School

College

Name of School

Business or Trade School

Name of School

Professional School

Name of School

Other specialized training and skills

Have you ever been convicted of a crime?

No Yes

What is your means of transportation to work?

Do you have a driver's license?

Yes No

Have you had any accidents during the past three years? How many?

Reference #1 Position

Reference #1 Company

Reference #1 Address

Reference #2 Position

Reference #2 Company

Reference #2 Address

Reference #3 Position

Reference #3 Company

Reference #3 Address

Military Service

Have you ever been in the armed forces?

Yes No

Are you now a member of the National Guard?

Yes No

Work Experience

Recent Job 1

Reason for leaving (be specific)

LIst the jobs you held, duties, performed, skills used or learned, advancements or promotions while you worked at this company.

Reason for leaving (be specific)

May we contact your present employer?

Yes No

Did you complete thsi application yourself?

Yes No

Additional Information

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.