Employment Application

Download our employment application: click here
Email the completed application to m-w@ntelos.net.

Apply now

MYERS & WHITESELL, INC (the “Company”) is an equal opportunity employer. All qualified applicants will be considered without regard to age, race, color, sex, religion, nation origin, marital status, ancestry, citizenship, veteran status, sexual orientation or preference.

Personal

Name

Other Names Used

Social Security Number

Address

Home Telephone Number

Business/Mobile Phone Number

Position Applied For

Referred By

Salary Desired

Have you ever interviewed with the Company or its affiliates before?

If yes, list date(s), job title(s) & location(s)

Have you ever been employed by the Company or its affiliates before?

If yes, list date(s), job title(s) & location(s)

Do you have any relatives employed by the Company or its affiliates?

If yes, list date(s), job title(s) & location(s)

Do you have a driver’s license?

Is there anything that will affect your driver’s license or your ability to drive that you are aware of? If so, explain.

Education

High School

Name

Address

Degree/Diploma/Certificate

College

Name

Address

Major

Degree

Vocational, Business, Other

Name

Address

Degree/Diploma/Certificate

List Any Professional Designations

Other Special Knowledge, Skills or Qualifications

For Clerical Applicants Only

Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been expunged, annulled or sealed by a court? (A yes response does not automatically disqualify your application.)

Do you have a valid drivers license?

Certification and Authorization

The above information is true and correct. I understand that, in the event of my employment by the Company, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery.
I authorize the Company to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Company and will hold the Company and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize the Company to obtain any credit and consumer check.
I understand that nothing in this employment application, the granting of an interview or my subsequent employment with the Company is intended to create an employment contract between myself and the Company under which my employment could be terminated only for cause. On the contrary I understand and agree that, if hired, my employment will be terminable at will and may be terminated by me or the Company at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing.
If employed, I will be required to provide original documents which verify my identity and right to
work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.
By submitting this form, I hereby acknowledge that I have read and agree to the above statements.

Employment Application

Apply now

Personal

Education

High School

College

Vocational, Business, Other

For Clerical Applicants Only

Employment History

Job #1

Job #2

Job #3

Job #4

General

Certification and Authorization

Myers & Whitesell Inc.