Employment Application - Oakmont Communities

Date*

Location Preference*

Livonia
Manor
Northville
Parkway
Sterling

Referred By

Personal Background

Upload Resume or CV

Upload 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*

Salary Desired*

Are you employed?*

Yes
No

May we contact your present employer?*

Yes
No

Have you ever applied to this Company Before?*

Yes
No

Where?*

When?*

Are you willing to work overtime?*

Yes
No

U.S. Military or Naval Service

Rank

If driving is a requirement of the job for which you are applying, do you have a current, valid driverʼs license?*

Yes
No

If 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?*

Yes
No

Are you able, at the time of employment to submit verification of you legal right to work in the U.S.?*

Yes
No

Verification 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?*

Yes
No

Please describe fully the criminal conviction(s) listing the nature of the offense(s) and your rehabilitation since the conviction(s).*

Educational Background

High School

Name of School	Location of School	Highest Grade Completed (9 10 11 12/GED)	Major Area of Study

College

Name of School	Location of School	Highest Grade Completed (1 2 3 4)	Major Area of Study

Trade, Business or Graduate School

Name of School	Location of School	Major Area of Study

Work Experience

Special 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 basis

Employer 1*

Name of Employer	Address of Employer	Salary	Date (Mo/Yr)	Position & Name of Supervisor	Please state reason for leaving

Employer 2*

Name of Employer	Address of Employer	Salary	Date (Mo/Yr)	Position & Name of Supervisor	Please state reason for leaving

Employer 3*

Name of Employer	Address of Employer	Salary	Date (Mo/Yr)	Position & Name of Supervisor	Please state reason for leaving

References

Give the names of three persons not related to you, whom you have known at least three years.

Reference 1*

Name	Occupation	Address	Telephone #	Years Known

Reference 2*

Name	Occupation	Address	Telephone #	Years Known

Reference 3*

Name	Occupation	Address	Telephone #	Years Known

Applicant’s Signature*

Date*

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.