Employment Application We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized person; including but not limited to race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, mental disability, veteran status, or any other legally protected basis. Date* Date Format: MM slash DD slash YYYY Location Preference* Livonia Manor Northville Parkway Sterling Referred ByPersonal BackgroundUpload Resume or CVUpload your resume or CV in PDF or Microsoft Word formats.Name* First Middle Last Email* Social Security Number*Phone Number*Address* Street Address City State / Province / Region ZIP / Postal Code Position Applying For*Date you can start* Date Format: MM slash DD slash YYYY Salary Desired*Are you employed?*YesNoMay we contact your present employer?*YesNoHave you ever applied to this Company Before?*YesNoWhere?*When?*Are you willing to work overtime?*YesNoU.S. Military or Naval ServiceRankIf driving is a requirement of the job for which you are applying, do you have a current, valid driverʼs license?*YesNoIf driving is a requirement, continued employment is contingent on your maintaining a current driverʼs license. If a minor, can you produce the age/work certificate necessary to obtain employment?*YesNoAre you able, at the time of employment to submit verification of you legal right to work in the U.S.?*YesNoVerification and completion of the I-9 Form must be submitted no later than three business days after date of hire. Have you ever been convicted of a felony or a crime which is related to the functions or qualifications of the position for which you are applying?*YesNoPlease describe fully the criminal conviction(s) listing the nature of the offense(s) and your rehabilitation since the conviction(s).*Educational BackgroundHigh SchoolName of SchoolLocation of SchoolHighest Grade Completed (9 10 11 12/GED)Major Area of StudyCollegeName of SchoolLocation of SchoolHighest Grade Completed (1 2 3 4)Major Area of StudyTrade, Business or Graduate SchoolName of SchoolLocation of SchoolMajor Area of StudyWork ExperienceSpecial Technical Skills (i.e. computer programmer/language, equipment operation, special tools or machine used)*List your last employers, staring with your present or last place of employment. You may include in such history any verified work performed on a volunteer basisEmployer 1*Name of EmployerAddress of EmployerSalaryDate (Mo/Yr)Position & Name of SupervisorPlease state reason for leavingEmployer 2*Name of EmployerAddress of EmployerSalaryDate (Mo/Yr)Position & Name of SupervisorPlease state reason for leavingEmployer 3*Name of EmployerAddress of EmployerSalaryDate (Mo/Yr)Position & Name of SupervisorPlease state reason for leavingReferencesGive the names of three persons not related to you, whom you have known at least three years.Reference 1*NameOccupationAddressTelephone #Years KnownReference 2*NameOccupationAddressTelephone #Years KnownReference 3*NameOccupationAddressTelephone #Years KnownApplicant’s Signature*Date* Date Format: MM slash DD slash YYYY In signing this application, I certify that all of the forgoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I hereby authorize you to conduct any investigation necessary concerning any part of my background related to the position I am seeking including criminal history, employment history and credit history from whatever credit bureau or other sources the employer or agent deems necessary. I release all parties from any liability in connection with the provision and use of such information. I understand and agree that if employed by this organization, I will abide by its rules and regulations which I understand are subject to change. I further understand that, if hired, my employment is no definite period of time and may be terminated by either party at anytime.