Employment Application - Midland County Habitat for Humanity

First Name*
Last Name*
Contact Phone Number*
Street Address*
City*
State*
Zip Code*
Email*
Date Available*
Position Applied For*
Are you 18 years of age?
- Yes
- No
Are you 18 years of age or older?*
Are you a citizen of the United States?*
Have you ever been convicted of a felony?*
If you have been convicted of a felony, please explain
Please list name of most recent or current employment*
Address of employer
Dates employed
Name and contact information of supervisor
Have you served in the military? If so please list Branch, and type of discharge
Please list the name and contact information of 3 references*
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Please upload resume
Drop files here or

Accepted file types: jpg, pdf, word, Max. file size: 644 MB, Max. files: 3.