APPLICATION FOR EMPLOYMENT
(PRE-EMPLOYMENT QUESTIONNAIRE) (AN EQUAL OPPORTUNITY EMPLOYER)
Resumes May be E-Mailed Directly to
mht@mht1.com
PERSONAL INFORMATION
First Name
Middle Initial
Last Name
Address
Address 2
City
State
SELECT
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
PR
VI
Zip
Country
Phone Number
E-mail address
Are you 18 yrs. or older?
SELECT
yes
no
EMPLOYMENT DESIRED
Position
Date you can start
Salary Desired
(per hour or year)
Are you employed now?
SELECT
yes
no
If yes, may we inquire of your present employer?
SELECT
yes
no
Ever applied for this company before?
SELECT
yes
no
where?
when?
Ever worked for this company before?
SELECT
yes
no
where?
when?
If yes, reason for leaving
Name of last supervisor at this company
Who referred you to this company?
RESUME
Please paste your resume into the box below.
You may also e-mail this resume to
mht@mht1.com
.
