Either print out the PDF application and fax it to: 410-268-0366
or
Fill out the the following application form.

*  Denotes a required field

* Name

* Social Security #

* Daytime Phone

Evening Phone

E-mail

Street Address

City

State

Zip Code

* Position Desired

Salary/Wage Desired

Availability

Can you provide proof of your right to work in the United States?

No   Yes

To your knowledge, do you have any relatives that work at Mie N Yu or Primacy Companies?

No   Yes

If Yes, what location

Can you provide proof that you are over the age of 18?

No   Yes

Have you ever been convicted of a felony?

No   Yes

If Yes, describe
(charges, where, date)

High School
(name and location)

Received

Diploma   GED   None   Other  

If other, specify

College, University, Professional School
(name and location)

Degree Earned

Years Attended

Job-Related Coursework/Training
(include name, location, dates attended, description)

Other Knowledge/Skills/Abilities

Please attach resume here

Or complete these fields

Name of Present or Last Employer

Address

Phone Number

Job Title

Supervisor's Name

Dates of Employment

Hours Worked Per Week

Duties/Responsibilities

Reason for Leaving

Name of Next Previous Employer

Address

Phone Number

Job Title

Supervisor's Name

Dates of Employment

Hours Worked Per Week

Duties/Responsibilities

Reason for Leaving

Name of Next Previous Employer

Address

Phone Number

Job Title

Supervisor's Name

Dates of Employment

Hours Worked Per Week

Duties/Responsibilities

Reason for Leaving

Certification: I am aware that any omissions, falsifications, misstatements, or misrepresentations on this Employment Application may disqualify me from employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to managers, personnel staff, and other authorized employees of Primacy Companies for employment purposes. This consent shall be effective during my employment if I am hired. I certify that to the best of my knowledge and belief of all the statements contained herein and on any attachments are true, correct, complete, and made in good faith.