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Contact Information
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Last Name *
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I am an amazing fit for (check all that apply) *
Please tell us what makes you a high-performer in your role *

Preliminary Info
Salary Requirement
Comments
Date You Can Start: *
Are you available to work:
Are you available to work overtime?: *
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How did you hear about us?:
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Are you 18 years or older?: *
Have you been employed by Miller CNC before?

Education
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Employment History

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Employer One
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Zip/Postal Code: *
Start Date: *
End Date:
Position and Title: *
Name of Supervisor:
Ending Salary:
Hours Worked per Week:
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References

Please provide the names of three persons not related to you who have known you for at least five years.

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Company Name
Relationship
Years Acquainted
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Years Acquainted
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