Mid-States Companies Application for Employment
We are an equal opportunity employer  and consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.
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Email *
What position are you interested in applying for? *
How did you hear about us? *
First Name *
Middle Name
Last Name *
Street Address *
City *
State *
Zip Code *
Primary Telephone *
What is the best time to contact you? *
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If you are under 18 years of age, can you provide required proof of your eligibility to work?
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If you have previously applied for a job at Mid-States, please list the approximate date
If you have previously worked at Mid-States, please list the approximate dates
Do any of your friends or relatives currently work at Mid-States? *
Are you currently employed? *
May we contact your current employer?
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Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment) *
What date are you available to start work? *
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What is your desired pay range? *
Which of the following are you available to work?
Are you currently on "lay-off" status and subject to recall?
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Can you travel if a job requires it?
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