MICO, Inc. : Online Application

MICO® INC

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

Date of Application:

05-09-08

*Indicates required field
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 Yahoo.com

Have you ever been employed here before?*	Yes No
If yes, give date:	(format: mm/dd/yyyy)
Do you have relatives working at MICO?*	Yes No
Are you employed right now?*	Yes No
May we contact your present employer?*	Yes No
Are you authorized to work in the United States?* (Proof of citizenship or immigration status will be required upon employment.)	Yes No

On what date would you be available for work?*	(format: mm/dd/yyyy)
Are you available to work*	Full Time Part Time Temporary
Are you available for*	First Shift Second Shift Third Shift
Are you willing to work overtime?*	Yes No
Are you on a layoff and subject to recall?*	Yes No
Can you travel if the job requires it?	Yes No

* Have you been convicted of a felony within the last 7 years? (Conviction will not disqualify applicant from consideration for employment.)	Yes No
If Yes, this space is provided for a brief voluntary explanation. Failure to explain will not disqualify your application from consideration.
* Have you been convicted of assault - domestic or other? (Conviction will not disqualify applicant from consideration for employment.)	Yes No
If Yes, please explain providing date and place. Failure to explain will not disqualify your application from consideration.

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):


Give name, address, and telephone number of three references who are not related to you and are not previous employers.*(at least two listed)
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:*
Dates Employed:*

From To

Address:*
Telephone: (area)

Job Title:*
Hourly Rate/Salary:

Starting Final

Supervisor:

Work Performed:

Reason for Leaving:

Employer #2

Employer Name:
Dates Employed:

From To

Address:
Telephone: (area)

Job Title:
Hourly Rate/Salary:

Starting Final

Supervisor:

Work Performed:

Reason for Leaving:

Employer #3

Employer Name:
Dates Employed:

From To

Address:
Telephone: (area)

Job Title:
Hourly Rate/Salary:

Starting Final

Supervisor:

Work Performed:

Reason for Leaving:

Employer #4

Employer Name:
Dates Employed:

From To

Address:
Telephone: (area)

Job Title:
Hourly Rate/Salary:

Starting Final

Supervisor:

Work Performed:

Reason for Leaving:

Employer #5

Employer Name:
Dates Employed:

From To

Address:
Telephone: (area)

Job Title:
Hourly Rate/Salary:

Starting Final

Supervisor:

Work Performed:

Reason for Leaving:

Comments

Education

Elementary High School* College/University Graduate/Professional

School Name

Years Completed 5 6 7 8 9 10 11 12 1 2 3 4 1 2 3 4

Diploma/Degree Yes No Yes No Yes No

Describe Course of Study:

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: 05-09-08

Affirmative Action Survey

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.

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:
Employment Agency Referral	Job Service	Walk In
Employee Referral	Newspaper Ad	Rehire
Radio Ad	College Relations	Other
Check One: Male Female

Check one of the following:
Race/Ethnic Group:	White	Black or African American	Hispanic or Latino
	American Indian/Alaskan Native		Asian
	Native Hawaiian or Other Pacific Islander		Two or More Races

Check if any of the following apply.
Veteran of Military Service	Vietnam Era Veteran
Disabled Veteran	Handicapped Individual

Please be patient while the application information is processed. It may take a few seconds to process. Pressing the "Submit Application" button more than once will send duplicate applications.

Application for Employment

Special Skills and Qualifications

Employment Experience

Employer #1*

Employer #2

Employer #3

Employer #4

Employer #5

Comments

Education

Applicant's Statement

Affirmative Action Survey

Please be patient while the application information is processed. It may take a few seconds to process. Pressing the "Submit Application" button more than once will send duplicate applications.