Employment Application

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, age, height, weight, marital status, non job-related disability, pregnancy, genetic information, or any other category protected by law.

Are you at least 18 years of age?
Language(s) of Familiarity:
Do you have current unrestricted authorization to work in the United States?
Have you worked for Company before?
Do you know anyone who currently works for this company?

Applicant Statement

AFFIRMATION. I affirm that information provided on this application is true and complete and that any false information, misrepresentations, or omissions may disqualify me from further consideration for employment and may result in termination of employment if discovered at later date.

AUTHORIZATION/RELEASE. I authorize Company to investigate all statements contained in application, to contact previous employers, and to discuss my employment history. I authorize former employers to disclose and discuss any and all employment and disciplinary history and records, and waive any right to notice of such disclosure or discussion. I release Company and disclosing parties from any and all liability associated with disclosure and discussion of any information, records or other documents that pertain to me.

ACCOMMODATIONS. I understand that if I have a protected disability that affects my ability to perform essential job functions of the job I seek or my ability to complete this application, I may ask Company to attempt to make a reasonable accommodation.

I HAVE CAREFULLY READ, UNDERSTAND AND AGREE TO EACH PARAGRAPH AND PROVISION SET FORTH IN APPLICANT STATEMENT.

Your Signature (Draw)

(231) 873-2828

(231) 873-0357

2542 N. 128th Ave Hart MI 49420

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