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BEFORE FILLING OUT THIS APPLICATION PLEASE READ IT OVER CAREFULLY. ANSWER EACH QUESTION AND EXPLAIN EACH ANSWER IN AS MUCH DETAIL AS POSSIBLE. IF YOU HAVE A QUESTION OR NEED ASSISTANCE IN FILLING OUT THE APPLICATION WE WILL HELP YOU. WE CONSIDER APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN OR ANY OTHER LEGALLY PROTECTED STATUS.

YOUR PERSONAL INFO
Salutation*
Your First Name*
Your Last Name*
Email*
Telephone No*
Cell Phone No*
 Alt Phone No*

SSN

 Home Address*
City*
State*
Zip*
Birth Date
U.S. Citizen?
  DRIVING INFO
License State
Lic. Number
Lic. Class
Lic. Expiration
CDL?  
Years Driving
   
  AVAILABILITY
  Sunday Monday Tuesday Wednesday Thursday Friday Saturday  
  From:  
  To:  
   
  EMERGENCY CONTACT INFO
Contact 1   Contact 2      
Name   Name    
Relationship   Relationship    
Phone1   Phone1    
Phone2   Phone2    
   
  EMPLOYMENT INFORMATION
Date Available   Position Requested    
Hire Type   Currently Employed?    
Can you drive a manual transmission?      
Have you ever worked for MidPark Services in the past?     
Do you have experience in the requested position?     

Have you had any vehicular accidents in the past 2 years?   

 

If yes, explain:

 

Have you had been convicted of a crime?   

 

If yes, explain:

 

Do you have any physical impairment that could keep you from being available or doing the job?   

 

If yes, explain:

 

Have you ever been discharged from a position?   

 

If yes, explain:

 

If you are currently employed, who is your employer? 

 
Name
Phone
Can we contact?
   
   
  EMPLOYMENT HISTORY
Previous Employer 1 Previous Employer 2 Previous Employer 3
Name Name Name
Supervisor Supervisor Supervisor
Phone Phone Phone
Your Position Your Position Your Position
Salary   Salary   Salary  
Why You Left Why You Left Why You Left
     
  EDUCATION
High School College Trade School
Name   Name   Name  
City/Stat   City/Stat   City/Stat  
Grad Year   Grad Year   Grad Year  

Are you currently enlisted in the military? 

Are you a veteran? 

   
How did you here of us? *
   
*Required  
 

I hereby certify that the information hereunder is correct to the best of my knowledge and understand that falsification of this information is grounds for refusal to hire or, if hired, dismissal. I hereby authorize any of the persons or organizations listed in my application to give all information concerning my previous employment, education, or any other information that might have, personal or otherwise, with regard to any of the subjects covered by this application, and release all such parties from all liability that may result from furnishing such information to you. I authorize you to request and receive such information. In consideration for my employment and my being considered for employment by your company, I agree to adhere to the rules and regulations of the company and hereby acknowledge that these rules and regulations may be changed by your company at any time, at the company's sole option and without any prior notice. In addition, I acknowledge that my employment may be terminated, and any offer of employment, if such is made, my be withdrawn with or without prior notice, any any time, at the option of either the company or me. I understand that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to assure or make some other personnel move, either prior to commencement of employment or after I have become employed, or to assure any benefits or terms and conditions of employment, or to make any agreement, that is contrary to the foregoing. I hereby acknowledge that I have been advised that this application will remain active for no more than 90 days from the date it was signed.

Type in Your Full Name and Today's Date (dd/mm/yyyy)          

 







 
Great Service.. Great Value. Great People.      

Why Choose MidPark?

Thank you for choosing Midpark Services, we appreciate your business. We do our best to alleviate your planning woes and offer services that our clients really need. We want to be your one stop go-to-guy when you need get your people in and out without bottlenecks and backups. Our attendants and drivers will show your guests or customers unmatched hospitality and customer service. We are fully insured, fully equipped and fully capable of handling you biggest jobs. We provide services to an array of clients from airports to dealerships, birthday parties to conventions, condos to hospitals to shopping centers. So add a touch of distinction and ease for your customers and order our services today!

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