Online Application


Please use this form to apply for your desired position with in Miles Farm Supply.

Please provide the following contact information:

First Name  
Last Name  
Middle Initial  
Street Address  
Address (cont.)  
City  
State  
Zip/Postal Code  
Country  
Day Time Phone  
Night Time Phone  
E-mail  

Enter today's date:

  -- mm/dd/yy

How did you hear of Miles:

 

Which region do you wish to work in?


What is the term of employment desired?

  Part-Time
  Full-Time
  Seasonal
  Educational Co-Op

Choose one of the following positions:


Pay Rate desired?

 

Are you legally eligible for employment in this country?

Yes No

Do you currently hold a CDL?

Yes No

HazMat CDL?

Yes No

If Applying for a position requiring a CDL are you 21 or older?

Yes No

Have you ever been employed by Miles before?

Yes No

If Yes, which location?


Please enter the last school you attended:

 

Please enter the last grade completed or degree earned:

 

Please enter your last employer:


Please describe duties and and reason for leaving:

 

Please enter your work dates for your last job:

From:

  -- dd/mm/yy

To:

  -- dd/mm/yy

Please enter your second most recent employer:

 

Describe your duties and reason for leaving:

 

From:

  -- mm/dd/yy

To:

  -- mm/dd/yy

In one paragraph describe any farm background you may have:

 

Describing yourself, would you say you are:

Candid

disagree strongly disagree neutral agree agree strongly

Transparent:

disagree strongly disagree neutral agree agree strongly

Attach Resume:
(.doc .pdf)


By submitting this form I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable
rate or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from /er and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the reserves the same right to terminate my employment at any time, with or without cause and without prior notice, may be required by law. This application does not constitute an agreement or contract for employment for any period or definite duration. I understand that no supervisor or representative of the employer is authorized to any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express are valid unless they are in writing and signed by the employer's president.

I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United (and that federal Immigration laws require me to complete an 1-9 Form in this regard.)



Copyright © 2006 Miles Enterprises, LLC. All rights reserved.
Revised: 11/10/06