PMI Employment Application Form

PMI Employment Application
Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail Address:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Walk-InEmployee(please specify)Newspaper AdFacebookTwitterOther (please specify)
Others:
Position Applying For:*
Are you interested in full-time or part-time employment?*

Full-TimePart-Time
Are you related to any current employees?*

YesNo
If yes, Whom are you related to?
Availability (Check all that apply)*

DayEveningNightWeekdays M-FWeekend Sat & Sun
Do you hold a valid New Mexico Drivers License?*

YesNo
If yes please provide NM Drivers License #
Are you willing to travel?

YesNo
Do you have adequate means of transportation?*

YesNo
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the U.S.?*

YesNo
Have you ever worked for Performance Maintenance Inc. before?*

YesNo
If yes, when?
Additional Information:
Upload Resume:

Upload a File

Cancelof
Job Skills & Training
Describe your skills:
Training or Certifications:
Previous Employment
1. Job Title:*
Dates Employed:*

FromTo
Company Name:*
Phone Number:*

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name:*
Responsibilities:*
Salary:*

StartingEnding
Reason for Leaving:*
2. Job Title:*
Dates Employed:*

FromTo
Company Name:*
Phone Number:*

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name:*
Responsibilities:*
Salary:*

StartingEnding
Reason for Leaving:*
3. Job Title:
Dates Employed:

FromTo
Company Name:
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name:
Responsibilities:
Salary:

StartingEnding
Reason for Leaving:
Professional References

Please list two (3) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 3
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please verify that you are human*
Should be Empty: