APPLY AT MUHLER (* required)

Position(s) applied for: In Home Sales Associate New Construction Sales Associate *First name: *Last name: Middle initial: *Email: *Street Address: *City, State, Zip: *Phone: Mobile Phone: *Social Security Num:

*If you are less than 18 years of age, can you provide proof of your eligibility to work? Yes No NA *Have you ever filed an application with us? Yes No *Are you currently employed? Yes No *If so, may we contact your current employer? Yes No NA *Are you prevented from becoming lawfully employed in this country because of visa or immigration status?* Yes No *Proof of citizenship of immigration will be required upon employment *On what date would you be available for work? *Are you available for work Full Time Part Time *Are you currently on a layoff status and subject to recall? Yes No *Can you travel if your job description requires it? Yes No *Have you been convicted of a felony within the last 7 years? Yes No If "yes", please explain:

*Education:

Name Course of Study  Years Graduated Elementary School Yes No High School Yes No College Yes No Grad/ Professional Yes No *Employment Experience: For each, list employer, manager, job title, phone, pay rate, date of employment, and reason for leaving

*References (Professional Business References Only) for each, List Name, Address, and Phone

Applicants Statement: By clicking below, 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. This application for employment shall be considered active for a period of time not to exceed 45 days.  I am aware that if I wish to be considered for employment beyond this time period, I should inquire as to whether or not applications are being accepted at that time.  I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the employee may resign at any time and the employer may discharge the employee at any time with or without cause.  It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of The Muhler Company, Inc.  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 rules and regulations The Muhler Company, Inc.