The Mill of Bel Air/ Black Horse/ Whiteford/ Hereford
Application for Employment
 
 
Personal Information
Name:      Last* First* MI
Address: Street* Apt. #
City* State* Zip Code*
Phone # E-mail
 
  yes  no
Are you a citizen of the United States?*
  If not, are you authorized to work in the United States?
Have you ever worked for this company?
  If so, when?
Have you ever been convicted of a felony?  
  If so, please explain.
Do you have a valid CDL?  
 
Education
High School* From Until
   yes    no  
Location Did you graduate?*  
 
College From Until
Location Degree(s)
 
Employment Desires
  Check All That Apply   Check All That Apply  
Location: Bel Air Department: Administration
  Black Horse   Driver
  Whiteford   Lawn & Garden
  Mill Work
Availability: Full Time   Orchard
  Part Time   Retail
  Seasonal/ Temporary   Warehouse
 
Date Available to Begin   Desired Salary  $
What relevant skills do you posses?
If you have any obligations that may conflict with your work schedule, please describe them.
 
References
Full Name Relationship
Company Phone #
 
Full Name Relationship
Company Phone #
 
Full Name Relationship
Company Phone #
 
Previous Employment
Company Phone #
Address Supervisor
Responsibilities
Reason for Leaving From Until
May we contact your previous supervisor for a reference?   yes    no Beginning Salary
Ending Salary
 
Company Phone #
Address Supervisor
Responsibilities
Reason for Leaving From Until
May we contact your previous supervisor for a reference?   yes    no Beginning Salary
Ending Salary
 
Company Phone #
Address Supervisor
Responsibilities
Reason for Leaving From Until
May we contact your previous supervisor for a reference?   yes    no Beginning Salary
Ending Salary
 
Military Service
Branch From Until
Rank at Discharge Type of Discharge
Reason
 
Disclaimer

I certify that my answers are true and complete to the best of my knowledge. By clicking submit below, I authorize The Mill to contact any and all of the above named references and past employers. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

All fields marked with an * are required to be completed for the application to be sent.