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?
Others:
Position Applying For:
Are you interested in full-time or part-time employment?
Are you related to any current employees?
If yes, Whom are you related to?
Availability (Check all that apply)
Do you hold a valid New Mexico Drivers License?
If yes please provide NM Drivers License #
Are you willing to travel?
Do you have adequate means of transportation?
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for Performance Maintenance Inc. before?
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: