General Application | Mid America Specialty Services

We are always looking for qualified candidates with previous metal, stone and wood refinishing skills as well as other positions within our company, so please fill out this general application.

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First name

Last name

Address

Country

Current company

Current title

Phone

Resume / CV

Cover letter

What position are you applying for?

When are you available to start?

How were you referred to our company?

Employee Referral

Our Website

Social Media: ie Facebook, LinkedIn, Twitter

Craigslist

Indeed

Other Online Job Board

Other

If you were referred by an employee, please state the employee's name:

Have you ever been employed here before?

Yes

Are you 18 years of age or older?

Yes

Will you travel, if required?

Yes

Employment Experience

In the following section, please provide information related to your previous two employers.

Name of Employer:

Contact Name:

Street Address:

City:

State

Phone Number:

Start Date MM/DD/YYYY:

End Date MM/DD/YYYY

Job Title:

Work Performed:

Reason for Leaving:

May we contact this employer?

Yes

Employer #2

Name of Employer:

Contact Name:

Street Address:

Phone Number:

City:

State

Start Date MM/DD/YYYY

End Date MM/DD/YYYY

Job Title:

Work Performed:

Reason for Leaving

May we contact this employer?

Yes

Education Background

What is the highest level of education you have completed?

GED

High School

Vocational

College

Graduate School

Full name of high school:

High School Location (City & State)

Full name of college (example: "University of Missouri" not MU):

College location (City & State):

Name of degree or diploma received:

Full name of vocational school:

School location (City & State):

Name of degree or diploma received:

References

List names and telephone numbers of two business/work references who are not related to you and are not previous supervisors. If not applicable, list two school or personal references who are not related to you.

Reference Name:

Title:

Relationship to you:

Telephone:

Email address:

Length of time you have known this person:

0-12 months

1 year

2 years

3 years

4 years

5+ years

Reference #2

Reference Name:

Title:

Relationship to you:

Phone Number:

Email Address:

Length of time you have known this person:

0-12 months

1 year

2 years

3 years

4 years

5+ years

Application Statement

By clicking the submit button, you certify that all the information submitted by you on this application is true and complete, and you understand that if any false or misleading information, omissions or misrepresentations are discovered, your application may be rejected, and if you are employed, your employment may be terminated at any time. If hired, you agree to conform to the Company’s rules and regulations, and you understand that these rules and/or the employee handbook do not form a contract of employment either express or implied, and you agree that my employment and compensation can be terminated, with or without cause and with or without notice, at any time, at either you or the Company’s option. You also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the Company. You understand that no Company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing. You expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. You hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me. You understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application. You also understand that, if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States as required by federal immigration laws. This Company does not tolerate unlawful discrimination or harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state or local law. No question on this application is used to limit or exclude an applicant from employment consideration on any basis prohibited by applicable federal, state or local law.

Submit

Sign Name (electronic signature)

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Employment Experience

Employer #2

Education Background

References

Reference #2

Application Statement

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