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Online Application

If you are interested in joining the MEI team, fill out the application below or follow the instructions to submit your resume.

Step 1 of 8

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Personal Information
Full Name
First Middle Last
Address
Street Address Apartment/Unit# City State ZIP Code
Phone
Email
Date Available
MM slash DD slash YYYY
Desired Salary $

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Position Information
Position Applied for
Location(s)
Can you perform the essential functions of the position for which you are applying, with or without a reasonable accommodation?
- Yes
- No
Are you able to work?
- Days
- Nights
- Weekends
- Holidays
- Overtime
Are you legally eligible to work in the U.S.?
- Yes
- No
(Proof of identity and eligibility will be required upon employment.)
Are you over the age of 18 years?
- Yes
- No
(If no, you may be required to provide authorization to work.)
Have you ever worked for this company?
- Yes
- No
If yes, when?
This position may require work performed on federal sites. Have you ever been convicted of a felony?
- Yes
- No
If yes, explain
Do you have reliable transportation to travel up to 4 hours one way?
- Yes
- No

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Education
High School
Address
Did you graduate
- Yes
- No
Years Completed
Diploma
College
Address
Did you graduate
- Yes
- No
Years Completed
Degree
Other
Address
Did you graduate
- Yes
- No
Years Completed
Degree

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References
List three professional references we may contact on your behalf.
Full name
Relationship
Company
Phone
Address
Full name
Relationship
Company
Phone
Address
Full name
Relationship
Company
Phone
Address

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Physical Demands
Climb 6’ ladder with ease
- Yes
- No
Kneel
- Yes
- No
Work from 6’ ladder with ease
- Yes
- No
Bend
- Yes
- No
Lift or carry 50 lbs.
- Yes
- No
Stoop
- Yes
- No
Lift 50lbs above head
- Yes
- No
Squat
- Yes
- No
Work in confined area
- Yes
- No
Work long periods without undue fatigue
- Yes
- No

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Military Service
Branch
From
To
Duties Peformed
List military experience applicable to the requirements of this job position

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Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
I understand that false, or misleading statements, or omissions in my application or interview whenever discovered are grounds for disqualification from further consideration of employment or grounds for termination of employment.
Signature
Date
MM slash DD slash YYYY
MEI, Inc. is an equal opportunity employer where an applicant’s qualifications are considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other basis prohibited by law.

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contact information

info@medequipmentinc.com

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