First Name *
Last Name *
Phone Number *
Alternative Phone Number *
Best Time to Call
Email Address *
Are you of legal age to work?
Job you're applying for: *
Be sure to change this to the position you are applying for! You must select a position!
Have you selected at least one job above to apply for? *
If a position is not selected your application will not be processed.
Job you're applying for (second):
Job you're applying for (third):
How often would you like to work? *
If Part-Time or Temporary Basis, specify days, hours, type of temp work
Date available for work *
Who referred you to Millikin?
Are you legally authorized to work in the United States and willing to provide documentation to prove eligibility?
List any friends or relatives employed by Millikin
Have you been convicted of a felony in the last 7 years? A conviction may not necessarily disqualify an applicant from employment. Applicants are not obliged to disclose sealed or expunged records or information about arrests which did not result in a conviction.
If yes, describe