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Todays Date

Name

Present Address

Telephone

E-mail

Preferred Method of Contact

Home

Cell

Text

I am applying for a:

Full-time Position

Part-time Position

Summer / Temporary Position

Position applying for:

Hours Available

What date are you available to start work?

Education

Skills and Qualifications: Licenses, Skills, Training, Awards

Professional

List professional, trade, business or civic activities and offices

Employment History

Employer

Dates of Employment

Start Date

End Date

Currently Employed

Yes

Reason for Leaving

Employer

Dates of Employment

Start Date

End Date

Currently Empolyed

Yes

Reason for Leaving

Employer

Dates of Employment

Start Date

End Date

Currently Employed

Yes

Reason for Leaving

May We Contact Your Present Employer?

Yes

Experience

Please list any skills or training pertinent to the position you are applying for

Please list any machines / tools you have operated

Please list any software you have experience or training with

Personal References

Military Service Record

Have you served in the armed forces?

Yes

If yes, which branch?

Dates of Duty

From

Rank at Discharge

Background

Are you eligible to work in the United States?

Yes

Have you ever been convicted of a felony?

Yes

If yes, please explain

If selected for an interview, please describe any accommodation you may need

Applicant Agreement

I certify that I have read and understand the questions on this application, and that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application as may be necessary in arriving at employment decisions. I understand that false or misleading information given in my application or interview(s) may result in disqualification and / or termination.

If I receive an offer of employment, I understand that acceptance does not create a contractual obligation and that any employment relationship with Mills Property Management Inc. may discharge me at any time with or without cause. I understand that this "at will" employment relationship may not be changed be any written document or by conduct unless such change is specifically acknowledge in writing by an authorized executive of Mills Property Management Inc.

I understand that Mills Property Management Inc. reserves the right to implement pre-placement physicals and / or pre-preplacement or employee drug tests. I agree to take a physical and / or a drug test if requested after I receive and offer of employment. I also understand that if employed, I am required to abide by all rules and regulations of Mills Property Management Inc. and will authorize a personal background check.

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