Application for employment

It is the policy of Midwest Maintenance, Inc. to consider all applicants without regard to race, religion, color, sex, age, marital status, national origin or disability. We are an equal opportunity employer.

A. Personal Information
Address:
Telephone Number:
Other Information:
Birthdate:
Were you previous employed by us?
B. Education
 
Name
City/State
Dates
Year Graduated
High School
-
College
-
Other
-
C. Training, Experience, and Readiness to Work
On what date would you be available for work?
Are you available to work:


Are you on lay-off and subject to recall?
Can you travel if a job required it?
Do you have a valid driver's liscense?
Do you have any special driving license's to operate machinery or commercial driver's license?

If YES, please specify special license's you have:


What types of makes/models of equipment can you operate or repair?
List any training programs in which you have participated:
Professional Licenses, Certifications or Registrations:
Additional Skills including supervision skills, other languages, or information regarding the career/occupation you wish :


Please check all applicable trades that you have had at least (1) year experience with :
 
1+ Years
3+ Years
5+ Years
10+ Years
Masonry - New or Repair
Concrete - New or Repair
Ornamental Sheet Metal Restoration
Carpentry
Steeple Repair
Painting
Cleaning-Chemical/Sandblasting
Waterproofing
Roofing
Stucco Finishing
Tuck pointing and Caulking
Stone Restoration/ Replacement
Wood Restoration
Terra Cotta Restoration


Other (please specify)
D. EMPLOYMENT REFERENCES
Your application will not be considered unless every question in this section is answered.


Most Recent Employer


Are you currently working for this employer?
If Yes, may we contact?
Company :
Dates Employed:
Reason for Leaving:
Second Most Recent Employer


Are you currently working for this employer?
If Yes, may we contact?
Company :
Dates Employed:
Reason for Leaving:
Third Most Recent Employer


Are you currently working for this employer?
If Yes, may we contact?
Company :
Dates Employed:
Reason for Leaving:
Other References

Include only individuals familiar with your work ability. Do not include relatives.



Upload a Resume

Acceptable file formats are word documents and PDF files.



"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal, and I agree to hold my employer harmless in the event of my dismissal based thereon.

I authorize investigation of all statements contained herein concerning my previous employment and authorize previous employers to release any pertinent information they may have, confidential or otherwise, and release all parties from all liablity for any damages that my result from furnishing information to you.

I acknowlege that I could be offered employment subject to appropriate background checks, including but not limited to, social security number verification, Department of Motor Vehicles records and criminal background records. I authorize the appropriate agencies to release these records and realize that such reports could nullify my ultimate employment by this employer.

I realize that under certain provisions of Ohio State law, pre-employment drug testing is a condition of my employment. I also acknowledge that the employer may require drug testing at a subsequent time providing that proper advance notice of testing is provided.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the method of payment of my wages and salary, be terminated at any time without prior notice. If employment is obtained under this application, I will comply with all the rules and policies of my employer."



Signature:
Date: