Employment Application

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Fill out the following application.
Upload a scan, picture or pdf of your W-4 and I-9. You can download both by clicking the links below.

Download IRS W-4

Download IRS I-9

Email

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Address Line 1

Address Line 2

City

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Zip / Postal Code

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Education

Employment History

Drop your file here or click here to upload You can upload up to 3 files

Drop your file here or click here to upload You can upload up to 4 files.

IN ACCORDANCE WITH THE PRIVACY ACT (5U.S.C.-552a) I EXPRESSLY AUTHORIZE ANY PERSON, ASSOCIATION, FIRM, COMPANY OR PERSONNEL OFFICE REQUESTED BY MODERN MAINTENANCE, INC. (MMI) TO FURNISH INFORMATION CONCERNING ME, MY EDUCATION, EXPERIENCE, CRIMINAL RECORDS, QUALIFICATIONS AND CERTIFICATIONS, MY 108 PERFORMANCE RECORD, MY PHYSICAL QUALIFICATIONS TO PERFORM DUTIES AND PERSONAL INFORMATION SUCH AS ADDRESS, PLACE OF EMPLOYMENT, ETC, FOR THE PURPOSE OF EMPLOYMENT. I UNDERSTAND THAT MISREPRESENTATION OR OMMISSION OF FACTS CALLED IS CAUSE FOR DISMISSAL.

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