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employment application

Contact Us

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APPLICANT INFORMATION

Last Name:

First Name:

MI:

DATE:

Street Address:

Apt #:

City:

State:

Zip:

Phone:

E-Mail:

Date Available:

Desired Salary:

Position Applied FOR:

Are you a citizen of the United States:

Yes

No

If no, are you authorized to work in the U.S?

Have you ever worked for this company?

Yes

No

If so, when?

Have you ever been convicted of a felony?

Yes

No

If yes, explain

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EDUCATION

High School:

Address:

From:

To:

Did you graduate?

Yes

No

Degree:

College:

Address:

From:

To:

Did you graduate?

Yes

No

Degree:

Other:

Address:

From:

To:

Did you graduate?

Yes

No

Degree:

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REFERENCES

Please list three professional references.

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

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PREVIOUS EMPLOYMENT

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $

Ending Salary: $

Responsibilities:

From:

To:

Reason for leaving:

May we contact your previous supervisor for reference?

Yes

No

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $

Ending Salary: $

Responsibilities:

From:

To:

Reason for leaving:

May we contact your previous supervisor for reference?

Yes

No

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $

Ending Salary: $

Responsibilities:

From:

To:

Reason for leaving:

May we contact your previous supervisor for reference?

Yes

No

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MILITARY SERVICE

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than Honorable, explain:

Upload a Resume

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DISCLAIMER AND SIGNATURE

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I certify that my answers are true and complete to the best if my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:

Signature:

Date:

Thank you for contacting us.
We will get back to you as soon as possible.

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Contact Information

Phone: 574-259-3101

Fax: 574-259-3104

Email: info@milestonefence.com

Address: 3723 N. Home St., Mishawaka IN 46545

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Cities Served:

South Bend, Indiana
Mishawaka, Indiana
Granger, Indiana
Elkhart, Indiana
Goshen, Indiana
La Porte, Indiana
Michigan City, Indiana
Rolling Prairie, Indiana
New Carlisle, Indiana
Plymouth, Indiana
Lakeville, Indiana
Niles, Michigan
Edwardsburg, Michigan
Three Rivers, Michigan

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