Application for Employment

Employment Application

  •   yes
      no
  •   yes
      no
  •   yes
      no
  •   yes
      no



  •   yes
      no




  • I understand that employment with Midwestern Services, Inc. is at-will, meaning that I or Midwestern Services, Inc. may terminate my employment at any time, or for any reason consistent with applicable state or federal law.
  • I understand that Midwestern Services, Inc. requires the successful completion of a drug and/or alcohol test as a condition of employment.
  • Please read and digitally sign the authorization for background to complete your application process.

    Authorization for Background Information

    I authorize Midwestern Services, Inc and its agents to obtain and review, now and during my employment, my past employment, education, and activities, and to request and receive any information concerning me, including but not limited to, criminal history, and public records from any persons, entities, schools, companies, corporations, partnerships, associations, state agencies, departments of labor, law enforcement agencies, licensing agencies, and from my previous employers.I further release, discharge, and hold harmless Midwestern Services, Inc., its agents, any persons, law enforcement agencies, schools, or personal/business entities and their respective officers, directors, employees, representatives and agents of any kind from any and all claims, liability, damages and responsibility of whatever kind or nature, arising out of or in connection with any act or omission in any such investigation or compliance with this authorization and request to release information, or any attempt to comply with it.  This paragraph applies to any negligence, sole negligence, comparative negligence, concurrent negligence, error, or omission.I have voluntarily signed this release to assist in the evaluation of my employment qualifications.I agree that if any investigation at any time reveals that I provided false information to, or omitted information from Midwestern Services, Inc., then disciplinary action may occur including termination of my consulting assignment and/or employment with Midwestern Services, Inc., without liability.Midwestern Services, Inc. is an equal opportunity employer and does not discriminate on the basis of race, religion, color, national origin, age, sex, gender, disability, genetic information, or any other characteristic protected by law.

  • I understand this application will be active for a period of no less than 365 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.