Miller Building Services
913 649-5599
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Personal Information
Name
First
Last
Social Security Number
Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
Phone
Employment Desired
Position
Date you can start
Salary Desired
Are you employed now?
Yes
No
May we contact your present employer?
Yes
No
Are you Legaly authorized to work in the US?
Yes
No
Have you ever applied to this company before?
Yes
No
Education History
High School Name
Years attended
Did you graduate?
Yes
No
College Name
Years attended?
Did you graduate?
Yes
No
Area of study
Trade school or Correspondence school name
Years attended
Did you graduate
Yes
No
Area of study
General Information
Special Training/Skills
US Military Service
Employment History
(List last four employers, starting with last one first
1
Date of employment
Month and Year. From, To
Name and Address of Employer
Salary
Position
Reason for Leaving
2
Date of employment
Month and Year. From, To
Name and Address of Employer
Salary
Position
Reason for Leaving
3
Date of employment
Month and Year. From, To
Name and Address of Employer
Salary
Position
Reason for Leaving
4
Date of employment
Month and Year. From, To
Name and Address of Employer
Salary
Position
Reason for Leaving
References
Give the names of three persons not related to you, whom you have known at least one year.
1
Name
Address
Business
Years Known
2
Name
Address
Business
Years Known
3
Name
Address
Business
Years Known
Cover Letter
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