Skip to content

120 W. Main St.

Benson, NC 27504

919-894-2111

Mon - Fri: 8AM - 5:30PM
SATURDAY: 8AM - 4PM

Home
Residential
Automotive
Commercial
Custom Finishes
Blog
Jobs
About
Contact

Home
Residential
Automotive
Commercial
Custom Finishes
Blog
Jobs
About
Contact

Online Application

ONLINE APPLICATION

Are you looking for an exciting career opportunity? We seek talented individuals to join our dynamic team and help drive our company’s success.

Fill out the application below, and click the submit butto,n and we’ll be in touch!

First Name

Last Name

Date of Birth

Position

Address

Phone

Email

Desired Salary

Are you a Citizen of the United States?

Yes No

If No, Are You Authorized to Work in the US?

Yes No

Have you ever worked for this company?

Yes No

If Yes, When?

Have you ever been convicted of a felony?

Yes No

Have you ever been convicted of any crime in the past 3 years?

Yes No

Explain

Highschool

Highschool

Years Completed?

Did You Graduate?

Yes No

Diploma:

High School GED

College

College

Years Completed:

Did You Graduate?

Yes No

Degree

Education

Years Completed

Did You Graduate?

Yes No

Degree

Personal References #1

Relationship

Company

Contact

Address:

Personal Reference #2

Relationship

Company

Contact

Address:

Personal Reference #3

Relationship

Company

Contact

Address:

Company #1

Phone Number

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates Worked

Reasons For Leaving

May we contact your previous employer for a reference?

Yes No

Company #2

Phone Number

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates Worked

Reasons For Leaving

May we contact your previous employer for a reference?

Yes No

Company #3

Phone Number

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates Worked

Reasons For Leaving

May we contact your previous employer for a reference?

Yes No

Branch

Date

Date

Rank At Discharge

Type Of Discharge

If other than Honorable, Explain:

Do you have reliable transportation?

Yes No

Will you be willing to consent to a drug test before hiring?

Yes No

I Certify My Information Is Accurate:

By checking this box I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

how can we help?

Send us a message and we’ll get back to you ASAP!

Full Name

Email Address

Message

Home
Residential
Automotive
Commercial
Custom Finishes
Blog
Jobs
About
Contact

Home
Residential
Automotive
Commercial
Custom Finishes
Blog
Jobs
About
Contact

© 2023 Miller Coatings & Equipment All Rights Reserved

Powered by Xcelerate360