Employment decisions will be based on the principles of equal opportunity. All personnel actions (recruiting, hiring, training, promotion, compensation, etc.) are administered without regard to any characteristic protected by state, federal, or local law, assuming said characteristic does not interfere with the performance of essential job functions. Reasonable accomodations will be made for disabilities and religious beliefs. Please inform us of any necessary accomodations to the application process.

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Full Name *

Address *

City *

State *

Zip Code *

Phone *

Email *

Social Security Number *

Date of birth *

Which branch are you applying for? *

Position(s) Applied for: *

If you selected "Other" please specify:

Date of Application: *

Desired Pay: *

Employment History

Employer:

Supervisor:

Company Address:

Company Phone:

Position Title and Duties Description:

Job Details:

Starting Date
Ending Date
Starting Pay
Ending Pay

Why did you leave this job?

May we contact this employer?

Yes

Later

Employment History

Employer:

Supervisor:

Company Address:

Company Phone:

Position Title and Duties Description:

Job Details:

Starting Date
Ending Date
Starting Pay
Ending Pay

Why did you leave this job?

May we contact this employer?

Yes

Later

References *

Name:
Phone Number:
Years Known:

References

Name:
Phone Number:
Years Known:

References

Name:
Phone Number:
Years Known:

Applicant's Signature

I certify that the information in this application is true, to the best of my knowledge.

I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company.

If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change.

I allow the Company to conduct investigations on me, my background, and my performance, and am aware that such investigations will become a part of my employment record. With this, I authorize that Company to speak with my acquaintances, personal and professional, to gather information about me.

I authorize all former employers and references to provide any information about me to the Company and release them of liabilities and damages of all kinds for providing this information. I authorize the Company to verify the accuracy of the information within this application. I also authorize the release of my educational transcripts to the Company for education verification purposes.

I release MT Services, Inc dba Miller Portables from liability for collecting information about me and using it to make employment decisions.

If I become employed by the Company, I understand that the employment relationship will be "at will," and that the"at will" status may not change at any time unless specifically approved, in writing, by the President of the Company.

I agree that if I become indebted to the Company, I will be responsible for repaying the total owed upon termination from the Company. If I do not repay the sum prior to my final paycheck being received, the money owed will be deducted from my pay.

This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must apply again.

Date: *

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