site map contact
home services faq aboutus contact jobs

 

 Mill-Tel Global Project Services Job Application 
Please fill all applicable fields.

Todays Date: Social Security Number:
Last Name: First Name: Middle Name:
Enter Email Address*: Telephone number including area code:
*You MUST reply to the validation email to make it through our spam filters.
Current Address (Street, City, State, and Zipcode):

Previous Address (Street, City, State, and Zipcode):

Have you ever applied at Mill-Tel Inc?Yes No

If yes then when did you apply and for what position?:


Position Desired: @ Office Location:
Minimum Wage Requirement: Date available to start working?
Distance willing to travel (in miles): Distance willing to travel (in minutes):
Special hours required (explain):

How did you learn about the position for which you are applying?
Name of referral source:

References:
List below personal references other than a relative or employer who have knowledge of your work performance.
For each box please list Name - Address - Phone Number - Years Known
Reference 1:

Reference 2:

Reference 3:


Present or Last Employer:
Company Name:
Address (include City, State, and Zipcode)
Type of Business: Job Title(s):
From Month/Year To Month/Year: Full-TimePart-Time
Starting Hourly/Salary Rate: Ending Hourly/Salary Rate:
Reason For Leaving:

Description of Duties:

Supervisors Name - Title - Phone Number:

If still employed may we contact your present employer?YesNo

Education
High School or GED:
Name and Location of school:

Last Year Completed: Graduate? Yes No

College:
Name and Location of school:

Last Year Completed: Graduate? Yes No

Trade or Business School:
Name and Location of school:

Last Year Completed: Graduate? Yes No

General
Summarize any other experience, training, management experience, or equipment operation relating to the position for which you are applying:

List any licenses that you currently possess relating to the position for which you are applying:


Do you have the legal right to work in the United States?
(If offered a position the immigration Reform & Control Act of 1986 requires you to furnish proof of your employment authorization and your identity before you can begin work.)
Yes No
Are you 18 years or older?
(If under 18 hire is subject to verification that you are of legal minimum age.)
Yes No
If not do you have a permit? Yes No

How long have you been a resident of this state?
Driver's License Number: State - Exp. Date:

Do you have reliable transportation to use for work?Yes No
Vehicle Make-Model-Year

Can you perform the essential functions of the position for which you are applying?Yes No
If not please describe:


Have you ever served in the U.S. Military? Yes No
If Yes: Branch: Years Served:
After acception of offer of employment can you submit a copy of your DD214?Yes No

Have you ever been convicted of any crime (including military court martial)?YesNo
(The existence of a criminal record does not constitute an automatic bar to employment with Mill-Tel Inc. However please explain the offense you have been convicted of in order to ascertain if it has a direct impact on the qualifications necessary to perform the position for which you are applying.)
If yes please explain:





     


    MILL-TEL Wichita Office
    5550 N. Hydraulic
    Wichita, KS 67219
    phone - 316.262.7171
    toll-free - 888.409.2225
    fax - 316.262.2947
     

    MILL-TEL Kansas City Office
    514 E. 10th Ave.
    Kansas City, MO 64116
    phone - 816.474.4020
    fax - 816.474.3116
     

    MILL-TEL Arkansas Office
    5480 Hailey Suite D
    Springdale, AR 72762
    phone - 479.419.5570
    fax - 479.419.5572
     

    MILL-TEL Tulsa Office
    10301 E. 51st St. Suite D
    Tulsa, OK 74145
    phone - 918.392.3365
    fax - 918.392.3364