How did you hear about us? 


    Mid-Minnesota Management Services
    D.B.A. Collection Resources
    2700 1st St N Suite 303 St. Cloud, MN 56303
    Telephone (320)253-8295 or Toll-Free (800)950-7188


    Application for Employment
    Today's Date
    Social Security #
    Home Address
    Phone #
    Alternate Phone #
    Email
    Are you 18 or older? NoYes
    If hired, can you furnish proof you are eligible to work in the United States? NoYes
    Ever been employed by Collection Resrouces? (If yes, when?) NoYes
    Educational History
    Name of School/Location Did you graduate? Degree/Diploma Major
    Additional job related seminars, short courses, workshops, or educational experiences
    Military Background
    Branch of Service Military Occupation Rank at Discharge Specialized Training


    Work History

    Include all employment from your last three employers with start and end dates. If you have a gap of employment, please explain below, including dates. Failure to provide complete information may result in rejection of your application.

    May we contact your present employer? YesNo

    Present and Former Employers: List Most Recent First

    Company Name
    Job Title & Duties Final Wage
    Address City, State, Zip
    Supervisor's Name Phone #
    Dates Worked Reason for Leaving
    Company Name
    Job Title & Duties Final Wage
    Address City, State, Zip
    Supervisor's Name Phone #
    Dates Worked Reason for Leaving
    Company Name
    Job Title & Duties Final Wage
    Address City, State, Zip
    Supervisor's Name Phone #
    Dates Worked Reason for Leaving

    Special Skills & Qualifications

    Additional information you want us to consider in evaluating your qualifications

    Explain any gaps in employment here

    References

    Give the names of three individuals not related to you, whom you have known at least 1 year

    Name Business Phone # Years Known

    Agreement - Please read carefully entire statement below and sign

    I certify that the facts contained in this application are true and complete to the best of my knowledge and­understand that, if employed, falsified statements on this application shall be grounds for dismissal.

    I authorize investgation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damages that may result from utilization of such information.

    I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

    This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.