APPLICATION FOR EMPLOYMENT
GENERAL
Name
Last
First
M.I.
Suffix
RESUMES ARE ACCEPTED BUT NOT IN LIEU OF COMPLETING THE INFORMATION REQUESTED ON THIS APPLICATION.
Please list all other names or alias used for education, employment or other purposes including dates used and circumstances.
Current Address:
Date of Application:
Home Phone:
Alternate Phone:
E-Mail:
Position applied for:
Salary desired:
Date Available for work: ____________________________
Are you available to travel?
Times Available for Work:
 Yes
Are you a licensed driver:
 No
 Yes
 No
Drivers License Number and State: ___________________
____________________
Shift:____________
 Full-Time
 Part-Time
Days:__________________
EDUCATION
TYPE OF SCHOOL
School/College Name
Degre
e
Year
Major/Minor
High School
Undergraduate
Graduate
Other:
CERTIFICATIONS & LICENSES
Certificates
Licenses
MILITARY
BRANCH
DATE ENTERED
HIGHEST RANKING
DATE DISCHARGED
MOS TITLE
LENGTH OF ACTIVE
DUTY
LEGAL
ARE YOU ELIGIBLE TO WORK IN THE UNITED STATES?  No
ARE YOU AT LEAST 18 YEARS OF AGE?
 Yes
 No  Yes
Certain M1 Support Services’ positions require Security clearances and/or access to classified information and may require individual to
demonstrate their US Citizenship or authorization to work in the United States. If offered a position with these requirements your employment
is contingent upon completion of the security documents and your ability to obtain and maintain the required clearances.
Have you ever been previously granted or denied a security clearance?
If a security has been granted:
Granted_________
Denied__________
Where___________________ Agency__________________ Level ______________________
M1 Support Services ~ 300 N. Elm Street, Suite 101~ Denton, TX 76201
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M1 Form A-106 Rev 02-2010
Have you ever ( ) pled guilty, ( ) been convicted, or ( ) received probation, ( ) deferred adjudication, ( ) pretrial diversion or ( ) court ordered community
supervision for any crime (felony or misdemeanor)?
 Yes  No
If yes, provide information on all misdemeanors and felonies (other than parking tickets), including date, location, and criminal offense and disposition:
Are you related to anyone who works for or is associated with M1 Support Services, Government Contracting Office, or Military personnel doing business
with the location of this position?__________
If so, please provide their name and working location _______________________
_____________________________________________________________________________________________________________
Are you currently or have you ever been to an order of suspension or disbarment from working on a federal contract or a military installation? ________
If yes, please provide details________________________________________________________________________________________________
WORK EXPERIENCE
To include additional work experience attach a resume.
Resume attached
Employer
 No
Dates
City, ST ZIP
Last Job Title
 Yes
Pay or Salary
From
Start
To
Final
Last Supervisor
Name
Title
Phone
Reason for leaving (be specific)
Describe work performed:
May we contact your present employer?
 Yes
 No
Employer
Dates
City, ST ZIP
Last Job Title
Pay or Salary
From
Start
To
Final
Last Supervisor
Name
Title
Reason for leaving (be specific)
Describe work performed:
May we contact your present employer?
 Yes
 No
REFERENCES
Please list two references other than relatives. Prefer previous supervisors and/or professional contacts .
Name
Name
Position
Position
Association
Association
Telephone
Telephone
M1 Support Services ~ 300 N. Elm Street, Suite 101~ Denton, TX 76201
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M1 Form A-106 Rev 02-2010
Phone
Acknowledgments
I certify that the information that the information contained in this application and accompanying resume is correct and complete to the best of my knowledge. I understand that knowingly
making false statements or omissions may be sufficient cause for rejection of this application or dismissal after employment.
I understand that the completion of this application is in no way an offer of employment. If, upon receiving a formal written Offer Letter, I also understand that there is no specified length of
employment, all employment is at-will. Both the Company and an employee may terminate employment at any time, for any reason.
I understand that M1 Support Services’ has a Drug-Free Workplace policy. I may be required prior to or during my employment to submit to a blood, urine and/or other medical examination
for controlled substances and illegal drugs at a facility selected and paid for by the Company. I agree to submit to examination and/or tests and authorize release and disclosure of the
results to M1 Support Services. I understand that a positive result may result in denial or termination of employment.
Signature of applicant
Date:
M1 Support Services is an Equal Employment Opportunity/Affirmative Action employer.
We adhere to a policy of making employment decisions without regard to race, color, religion, gender, national origin, citizenship, age or disability.
Uniform Information
Shirts
circle the correct size
S
M
L
3XL
4XL
T-Shirts
XL
5XL
2XL
S
M
3XL
circle the correct size
L
4XL
XL
5XL
2XL
Pants
write in the correct size
Men’s
Waist___________ Length________
Women’s Size__________________________
M1 Support Services ~ 300 N. Elm Street, Suite 101~ Denton, TX 76201
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M1 Form A-106 Rev 02-2010