• High School

  • Other





  • Please give accurate, complete full-time & part-time employment record. Start with the present or most recent employer.
  • Job 1

  • Job 2

  • Job 3

  • Job 4

  • We may contact the employers listed above unless you indicate those you do not want us to contact.



  • If the employer has checked the box next to the question, the information requested is needed for a legally permissible reason, including, without limitation, national security considerations, a legitimate occupational qualification or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination on the basis of age with respect to certain individuals. The laws of most States also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based upon ancestry, marital status or physical or mental handicap or disability.
  • General

  • Signature

  • The information provided in this Application of Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.

    I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

    If you decide to engage an investigative consumer reporting agency to report on my credit and personal history I authorize you to do so. If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.


DRIVING SECTION – (All Applicants)

    Driver Licenses

  • Driving Experience

  • Accident Record for the Past 3 Years (Use extra text area if more space is needed)

  • Traffic Convictions And Forfeitures For The Past 3 Years (Other Than Parking Violations)



  • I understand that, as a condition of my consideration for employment with Miller of Denton, Ltd or as a condition of my continued employment, Miller of Denton, Ltd may obtain a consumer report that includes, but is not limited to, my creditworthiness or similar characteristics, employment and education background, social security verification, criminal and civil history, personal interviews, workers comp claims, motor vehicle/DMV records, any other public records and any other information bearing on my credit standing, credit capacity, character, general reputation, personal characteristics and trustworthiness. I understand that this authorizes a pre-screening background investigation and will remain on file and serve as an ongoing authorization for Miller of Denton, Ltd (d.b.a. Miller of Denton, Wichita Beer, Southern Sales, and CDF Trucking) at any time during my affiliation or employment period.

    I understand that Miller of Denton, Ltd will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company’s choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further.

    By initialing and dating below, I am giving my permission to Miller of Denton, Ltd or its agents to perform any of the aforementioned checks.

  • We anticipate that we will be back in touch with you within the next (weeks/months) to inform you
    of the results of this process. We appreciate your patience, and hope you can understand our desire
    to ensure that every applicant receives full consideration.


Verification – Just to make sure you are Human!