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Job Application

  • Last Name
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  • First Name
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  • Address 1
  • Address 2
  • City
  • State/Province
  • Zip Code
  • Work Phone
  • Cell Phone
  • Email
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  • Do you currently hold a valid drivers license?
  • State Issued

  • Have you ever applied for a position with Miller Sellner or its partners?
  • Were you interviewed?
  • Have you ever held a position with Miller Sellner or its partners?
  • Start Date
  • End Date
  • Location
  • Position

  • How did you hear about Miller Sellner

  • Are you related to any employees at Miller Sellner?
  • Name
  • Relationship

  • Are you free to travel?

Previous Employment

Employment 1

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  • Salary
  • Start Date
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  • Job Details
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References

Professional Reference 1

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Personal Reference 1

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Education

Highschool

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College 1

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  • ​​​​​​​Degree
  • Year
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​​​​​​​Voc-Tech

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  • Degree
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Other

  • ​​​​​​​Certifications

Language Fluency

  • ​​​​​​​Language 1
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Experience

  • Do you have agricultural experience? If so, please explain.
  • Do you have management experience? If so, please explain.
  • Do you have retail experience? If so, please explain.
  • Do you have experience in a parts department? If so, please explain.
  • Do you have experience in a service department? If so, please explain.
  • Do you have sales experience? If so, please explain.
  • Why do you feel you are best suited for this position(qualifications)?

  • How did you hear about the job?

I hereby verify that the information given is valid. I fully understand that if this form contains false information the application will be discarded.

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