Submit Your Resume

* indicates required field

* First Name:

* Last Name:

Email Address:

Social Security Number:

Present Street Address 1:

Present Street Address 2:

Present City:

Present State:

Present Zip Code:

Present Phone Number:

Permanent Street Address 1:

Permanent Street Address 2:

Permanent City:

Permanent State:

Permanent Zip Code:

Permanent Phone Number:

Are you a citizen of the United States?

YesNo

Are you authorized to work in the United States?

YesNo

Referred By :

(If not referred, state how you came to apply)

Dates you will be available to work.

Starting (mm/dd/yyyy):

Ending (mm/dd/yyyy)

Are you 18 years old or older?

YesNo

Are you currently employed?

YesNo

May we contact your present employer?

YesNo
If yes, Name of current employer:

Within the last 7 years, have you been convicted of a felony which has not been annulled, expunged or sealed by the court?
( A "YES" answer will not automatically disqualify you from employment )

YesNo

If yes, under what Name:

Where:

When:

Position applying for:

When applying for a horse related position, state full experience with horses especially draft Horses

Schools Attended

High School	Did you graduate? YesNo
College	Did you graduate? YesNo
Other	Did you graduate? YesNo

Employment Experience
(List current or most recent job first)

Employer #1:

Name

Address

Job Title

Supervisor

Phone

Work Performed

Hourly Rate/Salary Starting

Final

Employed From (mm/dd/yyy)

To (mm/dd/yyy)

Reason For Leaving

Employer #2:

Name

Address

Job Title

Supervisor

Phone

Work Performed

Hourly Rate/Salary Starting

Final

Employed From (mm/dd/yyy)

To (mm/dd/yyy)

Reason For Leaving

Employer #3:

Name

Address

Job Title

Supervisor

Phone

Work Performed

Hourly Rate/Salary Starting

Final

Employed From (mm/dd/yyy)

To (mm/dd/yyy)

Reason For Leaving

References (Do not include relatives or former employers)

	Name	Address	Phone	Years Aquianted
1.
2.
3.

Upon the signing of this application, I represent that all of the information now or hereafter given by me in support of my
application is true and complete. I understand and agree that any falsification, misrepresentation or omission of fact either
on this application or during the pre-hire process will be reason for (1) my not being offered employment or (2) dismissal at any time from the service of the Company if employed. I authorize you to verify any of the information concerning my employment, education, credit or medical history with the appropriate individuals, companies, institutions or agencies, and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of such disclosure. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosures.

I agree that either party may terminate the employment relationship, with or without cause, at any time, and I further agree that this arrangement may only be altered in writing directed to me personally and signed by the General Manager of the Company, I agree that I shall be bound by the other rules, policies, regulations and terms and conditions of employment of the Company as they are from time to time changed, and no additional obligations can be imposed on the Company except those which have been acknowledged in writing, by the General Manager or his designated representative.

I further agree that my employment is conditional until such time as the results of my post-offer physical (if such physical is required) are known.

Agree? YesNo

Date (mm/dd/yyyy)

Please note that this application will only remain active for 6 months, after which you would need to re-apply.

If you have a resume, please email a copy to mike@mict.com