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LIST PRICES EFFECTIVE October 1, 2021

Dealer Directory

State:

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"*" indicates required fields

Employment Application

Date*

MM slash DD slash YYYY

Personal Information

Date of Birth*

MM slash DD slash YYYY

First Name*

Middle Name

Last Name*

Address*

Street Address City State ZIP Code

Home Phone

Business Phone

Cell Phone*

Email*

Are you 18 years or older?*

Yes

No

Employment Desired

Position Desired*

Salary Desired*

If hired for this position, when can you start work?*

MM slash DD slash YYYY

Are you willing to work weekends, if necessary?*

Yes

No

Have you ever applied at this company before?*

Yes

No

If yes, when?

MM slash DD slash YYYY

Do you have any relatives employed by this company?*

Yes

No

If yes, who?

Are you employed now?*

Yes

No

If yes, who is your current employer?

Education

Elementary School

Elementary School Name*

Elementary School : Location*

Elementary School : Years Attended*

Graduated*

Yes

No

Elementary School : Subjects Studied*

High School

High School Attended*

High School : Location*

High School : Years Attended*

Graduated*

Yes

No

High School : Subjects Studied*

College / Trade

College / Trade School Attended*

College / Trade : Location*

College / Trade : Years Attended*

Graduated*

Yes

No

College / Trade : Subjects Studied*

Please any general skills or experience that you have*

Former Employers

List below the last four (4) employers you had, starting with the most recent

Former Employers

Row ID	Name and Address of Employer	Position Title	Actions

There are no Employers.

Maximum number of employers reached.

REFERENCES

Give the names of three (3) people not related to you that you have known at least one (1) year

References

Row ID	Name	Business	Actions

There are no References.

Maximum number of references reached.

Physical Record

Do you have any physical limitations that prevent you from performing any work for which you are being considered?*

Yes

No

If yes, please describe

Emergency Contact

Name*

Address*

Phone Number*

Acknowledgements

I certify that the facts contained in this application are true and complete to the best of my knowledge, and understand that if employed falsified statements on this application shall be grounds for dismissal.*

Yes

No

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties*

Yes

No

I understand and agree that if hired my employment is for no definite period and may regardless of the date of payment of my wages and/or salary be terminated at any time without any prior notice.*

Yes

No

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Mayco, Inc. • 3501 E Reno Ave • Oklahoma City, OK , 73117-6611

Phone: 405-677-5969
Fax: 405-677-3406

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