Step 1 of 4
List your last 3 employers, starting with most recent.
List 2 people not related to you that you have know for at least one year.
List a person who we can contact in case of emergency.
I certify that the facts contained in this application (an accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal of hire, or dismissal if I have been employed, no matter when discovered by the Company.
I authorize the Company to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the Company, without giving me prior notice of such disclosure. In addition, I release the Company, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.
I understand and agree that nothing contained in this application, or conveyed
during any interview, is intended to create an employment contract. I further
understand and agree that if I am hired, my employment will be “at will” and
without fixed term, and may be terminated at any time, with or without cause and
without prior notice, at the option of either myself or the Company. No promises
regarding employment have been made to me, and I understand that no such
promise or guarantee is binding upon the Company unless made in writing by an
authorized Company representative.
If I am offered employment I agree to submit to a medical examination or drug test at any time deemed appropriate by the Company and as permitted by law. I submit to such examinations and tests, and I request that the examining doctor disclose to the Company the results of the examination. Said results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the Company’s Drug and Alcohol Policy.
I understand that acceptance of this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time.
6487 Western AveGlen Arbor, MI231.334.3754