Thank you for applying at Mill-Tel Inc.

Please read all questions carefully and completely.
Begin
 
What is your full name? (First, Middle, and Last) *

 
What is your phone number? (include area code) *

 
How did you hear about this position? *


 
What is your current address? (Including city, state, and zip) *

 
Do you have any friends or relatives currently employed or performing services for Mill-Tel? *

     
 
If yes, please state name(s):

 
Date available to start:

 
The following questions are in regards to your last 3 employers. Please start with the most recent employer.

 
Employers name and address: *

 
Period of employment (mm/yy to mm/yy): *

 
Description of duties: *

 
Reason for leaving: *

 
Ending salary: *

 
Employers name and address:

 
Period of employment (mm/yy to mm/yy):

 
Description of duties:

 
Reason for leaving:

 
Ending salary:

 
Employers name and address:

 
Period of employment (mm/yy to mm/yy):

 
Description of duties:

 
Reason for leaving:

 
Ending salary:

 
Summarize any other experience, training, management experience, or licenses that you currently possess. *

 
Do you have the legal right to work in the United States? *

     
 
Are you 18 or older? (if under 18, hire is subject to verification that you are of legal minimum age.) *

     
 
Do you currently have a valid drivers license? *

     
 
How long have you been a resident of this state? *

 
Do you own a reliable truck, van, or SUV? If so please list Make, Model, and Year: *

 
Acknowledgement *

I hereby certify that I personally competed this application, and that the information contained herein is correct to the best of my knowledge. I understand that any misrepresentation, falsification or material omission of information on this application, or pre-screening evaluation will result in my failure to receive an offer, or contract termination.
     
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