Employment Application

Section 1: Application Information

Your Name*

First Middle [optional] Last

Location*

City State

Phone*

Email Address*

Section 2: Position Information

Are you applying for a specific position?

Yes

Position applying for:

Position interested in:

Admin (Office/Support Roles)

Field (On-site/Project-based roles)

Shop (Maintenance/Fabrication/Yard)

Admin (Office/Support Roles)

Field (On-site/Project-base roles)

Shop (Maintenance/Fabrication/Yard)

Are you willing to work in safety-sensitive environments (including industrial, construction, or mining sites?)*

Yes

Are you wiling to travel, if required, for this position?

Yes

Section 3: Experience & Qualifications

Have you previously worked for or been assigned to Miller Contracting Services, either directly or through a staffing agency, contractor, or third-party employer?

Yes

If yes:

Employer/Agency Name:

Position/Role:

Approximate dates worked:

How many years of relevant experience do you have in this field?*

0-1

2-5

6-10

11+

Briefly describe your relevant experience, equipment operated, or project completed. (in paragraph format)*

Certifications held (if applicable):

CDLA

MSHA

OSHA

Other

Section 4: Compensation

Compensation expectations (hourly rate or annual salary range)

Section 5: Work Authorization

Are you legally authorized to work in the United States? (Proof of employment will be required upon hire)*

Yes

Section 6: Driver's License (if applicable)

Do you have a valid driver's license if needed for the position?*

Yes

If yes, enter state of issuance:

Section 7: Referral Source

How did you hear about Miller Contracting?

If referred by a Miller/OJI employee, please enter their name:

Other

Section 8: Resume

Upload resume [optional but encouraged]

Drop files here or

Max. file size: 50 MB, Max. files: 3.

Section 9: Pre-employment Conditions

Employment with Miller Contracting Services is contingent upon successful completion of job-related pre-employment requirements, which may include:

Drug screening
Background verification where permitted by law
Motor vehicle record review (for driving-related roles)
Verification of employment eligibility (Form I-9)

Section 10: Equal Employment Opportunity Statement

Miller Contracting Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, national origin, ancestry, citizenship status, age, marital status, physical or mental disability, military status, sexual orientation, gender identity, gender expression, arrest record (as protected under Illinois law), order of protection status, or any other status protected by applicable federal, state, or local law

Section 11: Application Certification

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submission of this application does not constitute an offer of employment. I understand that, if hired, my employment will be at-will and may be terminated at any time, with or without cause, subject to applicable law. I authorize Miller Contracting Services to verify the information provided, consistent with applicable law.

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I acknowledge and agree*

I acknowledge and agree

Electric signature checkbox required to submit

Date