HOME ABOUT US SERVICES PROJECTS INDUSTRY LINKS CUSTOMER SATISFACTION SURVEY CONTACT US   Employment Application We consider applications for all positions without regards to race,color,religion,sex,national origin,age,marital or veteran status,the presence of a non-job related medical condition or handicap, or any other legally protected status.   Position Applying for : Date of Application :     Last Name : First Name : Middle Name : Date of Birth : Place of Birth :   Address : Street : City : Zip Code : Telephone No. : Social Security Number :   If you are under 18 years of age, can you provide the required proof of eligibility to work? Yes No Have you ever been employed with us before? Yes No Are you currently employed? Yes No May we contact your present employer? Yes No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? Yes No     On what date would you be available for work? Are you available to work : Full Time Part Time Shift Work Temporary     Have you been convicted of a felony within the last 7 years? Yes No     If yes, please explain         EMPLOYMENT EXPERIENCE Start with your present of last job. Include any job-related military service assignments. You may exclude organizations which indicate race, color, Religion, Gender, National Origin, Handicap or other protected status. Please list employment over the past 3-5 years.     Employer Date Employed Work Performed FROM TO Address Telephone No Hourly Rate/Salary Starting Final Job Title Reason For Leaving         Employer Date Employed Work Performed FROM TO Address Telephone No Hourly Rate/Salary Starting Final Job Title Reason For Leaving         Employer Date Employed Work Performed FROM TO Address Telephone No Hourly Rate/Salary Starting Final Job Title Reason For Leaving         Employer Date Employed Work Performed FROM TO Address Telephone No Hourly Rate/Salary Starting Final Job Title Reason For Leaving         EDUCATION   School Name,City, State High School Trade School University/College Years Completed 9 10 11 12 1 2 3 4 1 2 3 4 5 Diploma/Degree or GED Describe Course of Study Describe any specialized training, apprenticeship , skills and extra-curricular activities Describe any honors you have received State any additional information you feel may be helpful to us in considering your application     Indicate any foreign languages you can speak, read and/or write   Fluent Good Fair Speak Read Write     References   Give name, and phone number of three references who are not related to you and are NOT previous employers 1. 2. 3.   Have you ever had any job-related training in the United States military? Yes No If yes, please describe Are you physically or otherwise unable to perform the duties of the job for which you are applying? Yes No     Copyright © 2009 Miller Marine. All rights reserved. Custom Design and Marketing by 2Point Solutions. Home  |  About Us  |  Services  |  Projects  |  Industry Links  |  Customer Satisfaction Survey  |  Site Map  |  Privacy Policy  |  Contact Us