Online Application

MICO, Incorporated
1911 Lee Boulevard (Zip Code 56003-2507)
P.O. Box 8118
North Mankato, MN 56002-8118
U.S.A.
Phone: (507) 625-6426
Fax: (507) 625-3212

MICO is an employment at-will company. Employment at will means that either MICO or any employee may terminate the employment relationship at any time without prior notice and for any reason. Any representations to the contrary are not binding upon MICO unless signed in writing by MICO.

Application for Employment

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, sexual orientation, marital, veteran or disability status and any other classification protected by applicable discrimination laws.

Please be sure to check your email after submitting this application.

AN EQUAL OPPORTUNITY EMPLOYER

* indicates required information

Date of Application:

Position Applied For: *

Salary Expected: *

First Name: *

Middle Name: *

Last Name: *

Present Address: *

Address 2:

City: *

State/Province: *

Zip/Postal Code: *

Country: *

Telephone: *

(include area code)

Cellular/Mobile Number:

(include area code)

Email: *

An email address is required, if you need to set up a free email address you may go to www.Yahoo.com

Special Skills and Qualifications

Summarize special skills and qualifications acquired from employment or other experience:

List profession, trade, business or civic activities and offices held:

(Exclude those which indicate race, color, religion, sex or national origin):

References

Give name, address, and telephone number of three references who are not related to you and are not previous employers.

Reference 1: *

Reference 2: *

Reference 3:

Employment Experience

Start with your present or last job. Include military service assignments and volunteer activities. Exclude organization names which indicate race, color, religion, sex, national origin or sexual orientation.

Employer #1

Employer Name: *

Address: *

Telephone:

(include area code)

Date Employed: From: *

Date Employed: To: *

Hourly Rate/Salary: Starting:

Hourly Rate/Salary: Final:

Job Title: *

Supervisor:

Work Performed:

Reason For Leaving:

Employer #2

Employer Name:

Address:

Telephone:

(include area code)

Date Employed: From:

Date Employed: To:

Hourly Rate/Salary: Starting:

Hourly Rate/Salary: Final:

Job Title:

Supervisor:

Work Performed:

Reason For Leaving:

Employer #3

Employer Name:

Address:

Telephone:

(include area code)

Date Employed: From:

Date Employed: To:

Hourly Rate/Salary: Starting:

Hourly Rate/Salary: Final:

Job Title:

Supervisor:

Work Performed:

Reason For Leaving:

Employer #4

Employer Name:

Address:

Telephone:

(include area code)

Date Employed: From:

Date Employed: To:

Hourly Rate/Salary: Starting:

Hourly Rate/Salary: Final:

Job Title:

Supervisor:

Work Performed:

Reason For Leaving:

Employer #5

Employer Name:

Address:

Telephone:

(include area code)

Date Employed: From:

Date Employed: To:

Hourly Rate/Salary: Starting:

Hourly Rate/Salary: Final:

Job Title:

Supervisor:

Work Performed:

Reason For Leaving:

Comments

Applicant's Statement

I certify that the answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all MICO rules and regulations.

I acknowledge that my employment relationship with MICO will be at-will. At-will employment means that the employer or employee may terminate the relationship at any time, with or without notice, and for any reason or no reason. Any representations to the contrary are not binding upon MICO unless signed in writing by an officer of MICO.

I agree to keep confidential and not to disclose to competitors any information that is proprietary to MICO, MICO vendors, or MICO customers.

Notice: By submitting this application form, you agree to the above statement.

Signature: *

Date :

Affirmative Action

Applicants are considered for all positions, and employees are treated during employment without regard to race, color or creed, religion, sex, marital status, national origin, ancestry, age, sexual orientation, handicap,status as a disabled or Vietnam-era veteran, status with regard to public assistance, or affectional preference.

As an employer/government contractor, we comply with government regulations and affirmative action responsibilities which includes having an Affirmative Action Plan and Policies.

To assist with government record keeping, reporting and other legal requirements, please fill out the Affirmative Action Survey.

Providing this information is voluntary and refusal to provide information will not have a negative effect on your status as an applicant.

Referral Source:

If Other, please list referral source:

Gender:

Male

Female

Race/Ethnic Group:

Check if any of the following apply:

Veteran of Military Service

Disabled Veteran

Vietnam Era Veteran

Disabled Individual

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