Employment

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An Equal Opportunity Employer

APPLICATION FOR EMPLOYMENT

Pre-employment Questionnaire

Qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job related medical condition or handicap.

TO ALL JOB APPLICANTS

It is the policy of M & W, to include alcohol and drug testing as a requirement for any full-time regular employee. Also, at any time during employment, if a supervisor suspects and employee is unfit for duty because of alcohol or drugs, they may remove the employee from the job and request the employee immediately be sent for drug testing. Therefore, if you are to be considered for employment, your consent to be tested is required.

Name

Current Address

Permanent Address

Phone

Are you 18 Years or older?

Please provide the required field.

Are you either a U. S. Citizen or an alien authorized to work in the United States?

Please provide the required field.

Position

Date you can start?

Salary Desired

Are you Employed Now?

Please provide the required field.

If so may we inquire of your Present Employment?

Please provide the required field.

Have you ever applied to this Company before?

Please provide the required field.

When?

High School

College

Other

U.S. Military Service

Rank

Present Membership in National Guard or Reserves

(List below last three employers, starting with last one first)Employer Name

Employer Address Address Line 1

Salary

Position

Reason for Leaving

Employer Name

Employer Address

Salary

Position

Reason for Leaving

Employer Name

Employer Address

Salary

Position

Reason for Leaving

M&W Tire

2216 M 139,

Benton Harbor, MI 49022

Phone. 269-926-8255