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To All Applicants

Please complete this form in detail. The law prohibits discrimination based on age, sex, religion, race, color, marital or veteran status, national origin and disability.

Education

Did you graduate from High School?:

Yes No

Undergraduate/Graduate/Technical

School Name:

Years Completed:

Major Subject:

Graduated:

Degree:

School Location:

Describe any specialized training, apprenticeship, certification and/or skills:

List Professional/Civic Organizations that you are associated with that pertain to the position applied for:

Describe any job-related training received in the United States military:

Employment History

Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.

Previous Employers

*Company Name:

*Start Date:

*End Date:

*Salary:

*Location:

*Supervisor's Name:

*Supervisor's Title:

*Position Title / Duties:

*Reason For Leaving:

References

Please list references we may contact who are qualified to evaluate your work abilities.

Reference

*Name:

*Phone Number:

*Relationship:

*Company Name:

*Company Phone:

*Location:

Upload Relevant Documents

Please upload an up to date copy of your resume, a cover letter detailing why you would be a good fit for this position, and any other relevant documents you may have.

These documents must be in one of the following formats: .doc, .docx, .pdf. Each file must be no larger than 4MB in size.

*Upload Resume:

*Upload Cover Letter:

Upload Other Relevant Documents:

APPLICANT ACKNOWLEDGMENT AND AGREEMENT

You must read the following statements and agreements and by signing your name, you acknowledge that you have read, understand, and agree to all statements.

I certify that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize investigation of all statements made in this application. I understand and agree that any misrepresentation or omission of fact for any information requested is cause for dismissal regardless of when it is discovered.

I understand that MI-T-M CORPORATION is committed to a drug-free work place and that the company may require me to undergo a pre-employment drug screening. Satisfactory test results will be a condition for employment.

Mi-T-M Corporation participates In E-Verify. Mi-T-M Corporation will provide the Social Security Administration And Department Of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

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Did you graduate from High School?:

Do you have a Diploma or High School Equivalency?:

Undergraduate/Graduate/Technical

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