Job Application
Employment Application Form
Midcon is an Equal Opportunity Employer. We encourage all qualified individuals to apply for employment. If you require accommodation to complete the application, testing or interview process, please contact the Human Resources Department.
Employment Desired
Education
Attach additional pages as necessary
HIGH SCHOOL

TRADE OR BUSINESS SCHOOL

COLLEGE

Military Service
References:
List three people not related to you whom you have known at least one year.

Work Experience
(Please list all work experience for the last ten years and your last three employers. Begin with your most recent employer attach additional as necessary)



History
Please read and initial the following statements
Accurate Information
I certify that the information here and in my resume is true and complete. I understand that any incomplete, misleading or false information will disqualify my application or be cause for dismissal. I authorize the company to contact all references listed here and further investigate my work experience and qualification.
Conditions
I understand that any offer of employment is contingent on the company's satisfaction with my: 1) drug test results; 2) identification and work authorization documents; 2) references and 4) background check.
Employment At Will
I understand and agree that if I am hired my employment will be for no defined period and that it may be terminated by me or by the company at any time, with or without cause or notice. I also understand that the company may change my job responsibilities or change my position at its discretion. I further understand that these terms of employment cannot be changed, except in writing, signed by the company president.
Midcon Cables Applicant Information Affirmative Action
Midcon Cables is a federal contractor (or subcontractor). As such, we are required to maintain demographic information about our applicants. We would appreciate your help in completing this form to ensure the accuracy of our information. This form is completely voluntary. It will be kept confidential, except as required to administer our Affirmative Action Plan.
Race
Please mark one or more of the following categories that best describes your ethnic background. (The definitions are government terms.)
Disability
I have a disability that restricts my ability to work
Veteran
Please mark any of the following that apply