About Industries Fabrication & Water Jet Field Services Project Gallery News Contact Careers Request a Quote VISIT DOTY MACHINE Request a Quote Careers Careers Miller Mechanical and Doty Machine Works are equal opportunity employers and welcomes applications at any time from qualified, potential employees. Name* First Middle Last If applicable, please include your maiden name in the Last Name field in addition to your current legal last name. Email Address* Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code How long have you lived at this address?* Phone If under 18, please list your age Please enter a number from 13 to 18. Position applied for* Desired salary* Can you work nights?* Employment desired* Full time Part time Check all that apply When available to start work?* High School Name of school Location Complete mailing address Number of years completed Major & degree College Name of school Location Complete mailing address Number of years completed Major & degree Business or Trade School Name of School Location Complete mailing address Number of years completed Major & degree Professional School Name of school Location Complete mailing address Number of years completed Major & degree Other specialized training and skills Have you ever been convicted of a crime?* No Yes What is your means of transportation to work?* Do you have a driver's license?* Yes No Expiration date MM slash DD slash YYYY Have you had any accidents during the past three years? How many?* Have you had any moving violations during the past three years? How Many?* References Please list THREE references other than relatives or previous employers: Reference #1 Name* First Last Reference #1 Position Reference #1 Company Reference #1 Address Reference #1 Phone Reference #2 Name* First Last Reference #2 Position Reference #2 Company Reference #2 Address Reference #2 Phone Reference #3 Name* First Last Reference #3 Position Reference #3 Company Reference #3 Address Reference #3 Phone Section Break Have you ever been in the armed forces?* Yes No Are you now a member of the National Guard?* Yes No Specialty Date entered MM slash DD slash YYYY Discharge date MM slash DD slash YYYY Work Experience Please list your work experience beginning with your most recent job held. If you were self-employed, give firm name. Recent job 1 List the name of employer, address, city, state, zip code, phone number, and name of supervisor. Start and end dates Your last job title Pay or salary Reason for leaving (be specific) List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. Recent job 2 List the name of employer, address, city, state, zip code, phone number, and name of supervisor. Start and end dates Your last job title Pay or salary Reason for leaving (be specific) List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. Recent job 3 List the name of employer, address, city, state, zip code, phone number, and name of supervisor. Start and end dates Your last job title Pay or salary Reason for leaving (be specific) List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. May we contact your present employer?* Yes No Did you complete this application yourself?* Yes No Additional information An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying. I certify that the statements made by me on this application are true and complete to the best of my knowledge and are made in good faith. I understand that if I knowingly make any misstatement of fact, I am subject to disqualification and dismissal and to such other penalties as may be prescribed by law or personnel regulations. All statements made on this application, including employment information, are subject to verification as a condition of employment. PROSPECTIVE EMPLOYEES WILL RECEIVE CONSIDERATION WITHOUT DISCRIMINATION BECAUSE OF RACE, CREED, COLOR, SEX, AGE, NATIONAL ORIGIN, MARITAL OR VETERAN STATUS, OT THE PRESENCE OF A NON-JOB-RELATED MEDICAL CONDITION OR DISABILITY, OR ANY OTHER LEGALLY PROTECTED STATUS About MMSIIndustriesCustom Fabrication & Water JetField ServicesProject GalleryLatest NewsContact © 2011 Miller Mechanical Services, Inc.51 Walnut Street, Glens Falls, NY 12801518.792.0430 Glossary of Terms